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Individual

DR. ROBERT RUDOLPH DEMEO

Active
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Individual

DR. ROBERT RUDOLPH DEMEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
121217
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017704
GHI
NY
05
—
00870755
—
NY
01
—
056343
AETNA
NY
01
—
0C5855
TOUCHSTONE
NY
01
—
0S234
OXFORD
NY
01
—
25320P
HIP
NY
01
—
RD037D5310
BLUE CROSS
NY
Enumeration date
08/09/2006
Last updated
07/09/2007
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