Healthcare Provider Details

I. General information

NPI: 1013974013
Provider Name (Legal Business Name): MEDICAL HEALTHCARE SPECIALISTS,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 COURTHOUSE LN SUITE 9
CHELMSFORD MA
01824-1728
US

IV. Provider business mailing address

4 COURTHOUSE LN SUITE 9
CHELMSFORD MA
01824-1728
US

V. Phone/Fax

Practice location:
  • Phone: 978-459-8400
  • Fax:
Mailing address:
  • Phone: 978-459-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29380
License Number StateMA

VIII. Authorized Official

Name: DR. RICHARD DEAMICIS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 978-459-8400