Organization
TODD L DEMARCO DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD L DEMARCO DC (OWNER)
(856) 697-0006
Entity
Organization
Contact information
Practice address
1079 W SUMMER AVE, MINOTOLA, NJ 08341-1032
(856) 697-0006
(856) 697-9209
Mailing address
1079 W SUMMER AVE, MINOTOLA, NJ 08341-1032
(856) 697-0006
(856) 697-9209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5883495
AETNA
NJ
01
—
741433
AETNA
NJ
05
—
8679207
—
NJ
Enumeration date
09/06/2007
Last updated
09/06/2007
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