Provider Demographics
NPI:1497082853
Name:DIMITRI, ALMAS (NP)
Entity Type:Individual
Prefix:
First Name:ALMAS
Middle Name:
Last Name:DIMITRI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALMAS
Other - Middle Name:
Other - Last Name:RATHOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:105 MILLBURY ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-3205
Mailing Address - Country:US
Mailing Address - Phone:508-832-9691
Mailing Address - Fax:508-832-7670
Practice Address - Street 1:33 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-2108
Practice Address - Country:US
Practice Address - Phone:508-481-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN280509363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics