Individual
JAMES JOHN DEMARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2505 S BROAD ST, PHILA, PA 19148
(215) 551-3340
(215) 551-3320
Mailing address
2505 S BROAD ST, PHILA, PA 19148
(215) 551-3340
(215) 551-3320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006292L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568036
—
PA
01
—
0777239000
BCBS
PA
Enumeration date
09/27/2006
Last updated
03/26/2008
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