Organization
CHESTNUTHILL PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DEMURO DO (PARTNER)
(973) 471-9494
Entity
Organization
Contact information
Practice address
338 CHESTNUT ST, PASSAIC, NJ 07055-3158
(973) 471-9494
(973) 778-4649
Mailing address
338 CHESTNUT ST, PASSAIC, NJ 07055-3158
(973) 471-9494
(973) 778-4649
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MB037972
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680505
—
NJ
01
—
CH469414
MEDICARE GROUP NUMBER
NJ
Enumeration date
10/04/2007
Last updated
10/04/2007
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