Demos Dermatology, Llc

LBN: Demos Dermatology, Llc
Demos Dermatology, Llc is an health care organization with primary practice located at 125 Liberty St Ste 403 , Springfield MA 01103-1109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Demos Dermatology, Llc can be contacted via phone (413) 739-6611, or through Demos, Michael Peter via phone (786) 397-3460.

Contact Information

Primary practice address
125 Liberty St Ste 403 Springfield MA 01103-1109
Phone: (413) 739-6611
Fax: (413) 733-1059
Website:
Map and Directions
Authorized official contact:
Name: Demos, Michael Peter Doctor of Medicine (MD)
Phone: (786) 397-3460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1730804634
LBN Legal business name Demos Dermatology, Llc
DBA Doing business as
Authorized official Demos, Michael Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730804634 NPPES
Massachusetts MEDICAID 110161707

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