Healthcare Provider Details

I. General information

NPI: 1427048891
Provider Name (Legal Business Name): TROY A DEMASTERS PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 CARNEGIE ROW STE 202
NORWOOD MA
02062-5162
US

IV. Provider business mailing address

526 MAIN ST STE 302
ACTON MA
01720-3310
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-5858
  • Fax: 781-617-6202
Mailing address:
  • Phone: 978-371-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA100230
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: