| Demos Agiomavritis Md Pc | |
|
385 Grove St Suite 120 Worcester MA 01605-3924 | |
| (508) 770-8002 | |
| (508) 770-8006 |
| Full Name | Demos Agiomavritis Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 385 Grove St, Worcester, Massachusetts |
| Authorized Official Name and Position | Demosthenes K Agiomavritis (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 5087708002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demos Agiomavritis Md Pc 385 Grove St Suite 120 Worcester MA 01605-3924 Ph: (508) 770-8002 | Demos Agiomavritis Md Pc 385 Grove St Suite 120 Worcester MA 01605-3924 Ph: (508) 770-8002 |
| NPI Number | 1093786725 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093786725 | NPI | - | NPPES |
| 61250 | Other | HARVARD PILGRIM | |
| 9065240 | Other | PRIVATE HEALTH CARE | |
| 20787175 | Other | TAX ID | |
| 26373 | Other | FALLON | |
| 701827 | Other | TUFTS | |
| 999969 | Other | NETWORK HEALTH | |
| 9751530 | Medicaid | MA | |
| N01922 | Other | BLUE CROSS INDIVIDUAL | |
| M18983 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 47165 (Massachusetts) | Primary |
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