Demetri, George D

Demetri, George D is an individual health care provider with primary practice located at 450 Brookline Ave Dfci, D1212, Boston MA 02215-5418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Demetri, George D can be contacted via phone (617) 632-3985.

Contact Information

Primary practice address
450 Brookline Ave Dfci, D1212 Boston MA 02215-5418
Phone: (617) 632-3985
Fax: (617) 632-3408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 55911 Massachusetts

Profile Details

NPI number 1841267093
LBN Legal business name Demetri, George D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 6th, 2011 - about 13 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 1841267093 NPPES
Other 3121097 MASSHEALTH
Other 42730 MASSHEALTH
Other 055911 MASSHEALTH
Other E45070DF MASSHEALTH
Other 2064098 MASSHEALTH
Other 5238043 MASSHEALTH

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