| Doctor Name: | ALYSIA DEMARTINO |
| NPI Number: | 1194151415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN2277379 |
| Business Practice Address: | 990 Washington St Suite 203 Dedham, MA - 020266714 |
| Business Phone Number: | 7814047045 |
| Business Fax Number: | 7813261384 |
| Mailing Address: | 2214 Avalon Dr, PEABODY |
| State: | MA |
| Postal Code: | 019601514 |
| Phone Number: | 5089308286 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2013 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN2277379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |