Individual
DR. JOSEPH STEPHEN DEMIDOVICH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1569 MEDICAL DR STE 202, POTTSTOWN, PA 19464-3223
(484) 948-3860
Mailing address
609 W. GERMANTOWN PIKE, SUITE 210, EAST NORRITON, PA 19403-3352
(610) 275-2446
(610) 275-3266
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
25MB08581900
NJ
207RP1001X
Pulmonary Disease Physician
Primary
OS014147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027179750001
—
PA
Enumeration date
12/07/2007
Last updated
10/17/2022
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