Individual
ADRIAN C DEMIDONT
Active
Individual
ADRIAN C DEMIDONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246575
NY
207R00000X
Internal Medicine Physician
53610
CT
207RI0200X
Infectious Disease Physician
246575
NY
207RI0200X
Infectious Disease Physician
Primary
53610
CT
207RI0200X
Infectious Disease Physician
OS011985
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101535889
—
PA
01
—
1800377
HIGHMARK BLUE SHIELD
PA
01
—
50065530
CAPITAL BLUE CROSS
PA
01
—
A400052336
MEDICARE PTAN
NY
Enumeration date
10/12/2006
Last updated
01/03/2020
Update your record
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