Organization
PAUL S. DEMARCO, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S DEMARCO DPM (OWNER)
(609) 927-4894
Entity
Organization
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
—
0841409000
AMERIHEALTH GROUP ID
NJ
01
—
2556601
AETNA ID
NJ
05
—
7154101
—
NJ
Enumeration date
12/12/2006
Last updated
12/11/2007
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