Individual
DR. KENNETH M DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C100003230
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055901
—
DE
01
—
0053581000
IBC
—
01
—
0402191
UNITED HEALTHCARE
—
01
—
110025559
RAILROAD MEDICARE
—
01
—
27965
AETNA
—
Enumeration date
10/20/2005
Last updated
09/21/2010
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