Individual
DR. BASSEM M DEMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
292 HERBERTSVILLE RD, BRICK, NJ 08724-1734
(732) 840-8989
Mailing address
292 HERBERTSVILLE RD, BRICK, NJ 08724-1734
(732) 840-8989
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00215100
NJ
213ES0131X
Foot Surgery Podiatrist
25MD00215100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549604
—
NJ
Enumeration date
01/23/2006
Last updated
01/14/2016
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