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Contact Information

MICHAEL DEMELIS, MD
211 PARK STREET
ATTLEBORO, MA02703
 Phone: 508-236-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL DEMELIS · (Male)

NPI Number 1336108984
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2006
Last updated 11/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 220442
  • MA Medicaid 2093448
Hospital affiliation(s)
  • STURDY MEMORIAL HOSPITAL - (Acute Care)
    211 PARK STREET
    ATTLEBORO, MA 02703
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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