De Marco, Michael Joseph

De Marco, Michael Joseph is an sole proprietor health care provider with primary practice located at 13 Blueberry Ln , Tinton Falls NJ 07724-9731. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. De Marco, Michael Joseph can be contacted via phone (732) 922-3313.

Contact Information

Primary practice address
13 Blueberry Ln Tinton Falls NJ 07724-9731
Phone: (732) 922-3313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD001764 New Jersey

Profile Details

NPI number 1376683979
LBN Legal business name De Marco, Michael Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Apr 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376683979 NPPES
New Jersey MEDICAID 0905208

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