Individual
DR. PAUL S. DEMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 SHORE RD, SOMERS POINT, NJ 08244-2630
(609) 927-4894
(609) 601-1439
Mailing address
401 SHORE RD, SOMERS POINT, NJ 08244-2630
(609) 927-4894
(609) 601-1439
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD02049
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500375000
AMERIHEALTH HMO ID
NJ
01
—
0841409000
AMERIHEALTH PRACTICE ID
NJ
01
—
1087436
HORIZON NJ HEALTH ID
NJ
01
—
2556601
AETNA ID
NJ
05
—
6272801
—
NJ
01
—
P647797
OXFORD HEALTH ID
NJ
Enumeration date
06/03/2006
Last updated
01/06/2010
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