Individual
ROBERT P. DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6202
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-534694
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
076873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027802710001
—
PA
01
—
104165
GEISINGER
PA
01
—
11803015
CAQH
PA
01
—
1580788
GATEWAY
PA
01
—
1928847
FIRST PRIORITY
PA
01
—
2797880000
IBC
PA
01
—
50065559
CAPITAL ADVANTAGE
PA
01
—
9482478
AETNA
PA
Enumeration date
12/06/2006
Last updated
03/25/2013
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