Organization
DEMRECA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DIERKES D.O. (PRESIDENT)
(609) 624-8986
Entity
Organization
Contact information
Practice address
261 51ST ST, AVALON, NJ 08202-1310
(609) 624-8986
(609) 624-9098
Mailing address
261 51ST ST, AVALON, NJ 08202-1310
(609) 624-8986
(609) 624-9098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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