Individual
DR. PETER A. DEMARIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N. BROAD ST. 2ND FLOOR, PHILADELPHIA, PA 19121
(215) 204-7276
(215) 204-5419
Mailing address
1700 N. BROAD ST. 2ND FLOOR, PHILADELPHIA, PA 19121
(215) 204-7276
(215) 204-5419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD034505-E
PA
2084P0802X
Addiction Psychiatry Physician
MD-034505-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FO1897
UPIN
PA
Enumeration date
11/05/2007
Last updated
11/14/2017
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