Individual
CHAD J. DEMARCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 788-1751
(315) 788-9021
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 788-1751
(315) 788-9021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03583451
—
NY
Enumeration date
10/12/2012
Last updated
05/09/2024
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