Individual
DR. MARK ANDREW DEMITRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3222 PHOENIXVILLE PIKE, MALVERN, PA 19355-9615
(610) 640-4202
(610) 640-4206
Mailing address
3222 PHOENIXVILLE PIKE, MALVERN, PA 19355-9615
(610) 640-4202
(610) 640-4206
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD4222248
PA
Other
Enumeration date
11/20/2016
Last updated
11/20/2016
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