Individual
MICHAEL JOSEPH DE MARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13 BLUEBERRY LN, TINTON FALLS, NJ 07724-9731
(732) 922-3313
Mailing address
13 BLUEBERRY LN, TINTON FALLS, NJ 07724-9731
(732) 922-3313
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD001764
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905208
—
NJ
Enumeration date
02/06/2007
Last updated
04/10/2013
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