Individual
MICHAEL D DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228
(410) 644-1880
(410) 646-3623
Mailing address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H0063916
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148527
HIGHMARK BCBS PA POS
PA
01
—
2148527
HIGHMARK BCBS MD POS
—
05
—
412635100
—
MD
01
—
89042401
BLUE SHIELD TRADITIONAL
MD
01
—
P00419965
RR MEDICARE
MD
01
—
W2660013
MD BLUE SHIELD REGIONAL
MD
Enumeration date
06/21/2006
Last updated
01/30/2019
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