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Individual

DR. ANTHONY P DEMARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7033 BURLINGTON PIKE STE 2, FLORENCE, KY 41042-1600
(859) 746-3668
Mailing address
7033 BURLINGTON PIKE STE 2, FLORENCE, KY 41042-1600
(859) 746-3668
(859) 746-3000

Taxonomy

Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
244128
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
244128
KY
213ER0200X
Radiology Podiatrist
244128
KY
213ES0000X
Sports Medicine Podiatrist
244128
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
0585
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
244128
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
270
KY
213ES0131X
Foot Surgery Podiatrist
244128
KY
213ES0131X
Foot Surgery Podiatrist
KY00270
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000926847
ANTHEM
05
201301300
IN
05
7100106670
KY
05
793233
AZ
01
P01459301
RAILROAD MEDICARE
KY
Enumeration date
11/30/2005
Last updated
04/26/2022
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