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Individual

DR. ANDREW H DEMICHELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 SHALLCROSS AVE, SUITE 1 A, WILMINGTON, DE 19806-3037
(302) 652-6050
(302) 652-6053
Mailing address
PO BOX 8157, WILMINGTON, DE 19803-8157
(302) 652-6050
(302) 652-6053

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C10007635
DE
208600000X
Surgery Physician
Primary
MD058617L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005353635
AETNA PIN
DE
01
0005353635
AETNA PIN
PA
05
0016931600005
PA
05
1000035615
DE
Enumeration date
08/11/2006
Last updated
01/08/2016
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