Individual
DR. SPERO EVAN DEMOLEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7000
(201) 930-9090
(201) 930-1823
Mailing address
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7000
(201) 930-9090
(201) 930-1823
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01964
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N004380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG6421
BC/BS NY
NY
Enumeration date
06/08/2006
Last updated
12/02/2011
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