Individual
DR. BEVERLY DEMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 CORLIES AVE, 2ND FLOOR, NEPTUNE, NJ 07753-4800
(732) 663-1123
Mailing address
1900 CORLIES AVE, 2ND FLOOR, NEPTUNE, NJ 07753-4800
(732) 663-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07818700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004009
—
NJ
Enumeration date
10/02/2006
Last updated
03/04/2016
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