Individual
MICHAEL J DEMOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 652-1000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01059078
IN
2084P0800X
Psychiatry Physician
01059078A
IN
2084P0800X
Psychiatry Physician
Primary
D12309700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965715
—
NJ
05
—
200460650
—
IN
Enumeration date
05/27/2006
Last updated
05/07/2024
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