Individual
MS. CAROLYN K DEMAREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
150 BERGEN ST, UNIVERSITY HOSPITAL, NEWARK, NJ 07103
(973) 972-4488
Mailing address
8 DOGWOOD LN, WOODCLIFF LAKE, NJ 07677-8306
(201) 930-1995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00053000
NJ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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