Demoor, Michiel M

Demoor, Michiel M is an individual health care provider with primary practice located at 800 Washington St # 313 Tufts Medical Center, Boston MA 02111-1552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Demoor, Michiel M can be contacted via phone (617) 636-5067.

Contact Information

Primary practice address
800 Washington St # 313 Tufts Medical Center Boston MA 02111-1552
Phone: (617) 636-5067
Fax: (617) 636-2354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 160252 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 160252 Massachusetts

Profile Details

NPI number 1336117043
LBN Legal business name Demoor, Michiel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336117043 NPPES
Massachusetts Other J17454 BCBS MA
Massachusetts MEDICAID 3164616 BCBS MA
Massachusetts Other 764607 BCBS MA

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