Individual
ANDREW DEMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(267) 807-3250
Mailing address
1105 LINWOOD AVE, HADDON TOWNSHIP, NJ 08108-3351
(484) 574-5352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141214
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2022
Last updated
05/13/2022
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