Individual
DAVID MARK DEMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8640 SUDLEY RD STE 302, MANASSAS, VA 20110-4404
(703) 369-5959
(703) 369-7473
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-5959
(703) 369-7473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101267566
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101267566
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2013
Last updated
10/26/2020
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