Individual
DR. KENNETH M DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 SILVERSIDE RD, SUITE 3, WILMINGTON, DE 19810-3719
(302) 478-0400
(302) 478-3827
Mailing address
2700 SILVERSIDE RD, SUITE 3, WILMINGTON, DE 19810-3719
(302) 478-0400
(302) 478-3827
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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