Individual
ELIZABETH B DEMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2059 BRIGGS RD STE 304, MOUNT LAUREL, NJ 08054-4640
(856) 235-7080
(856) 273-0402
Mailing address
2059 BRIGGS RD STE 304, MOUNT LAUREL, NJ 08054-4640
(856) 235-7080
(856) 273-0402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00191700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119576AZD
MEDICARE PTAN NUMBER
NJ
Enumeration date
12/18/2007
Last updated
03/31/2025
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