Demarsico, Richard

Demarsico, Richard is an individual health care provider with primary practice located at 33 N Fullerton Ave , Montclair NJ 07042-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Demarsico, Richard can be contacted via phone (973) 744-2226.

Contact Information

Primary practice address
33 N Fullerton Ave Montclair NJ 07042-3464
Fax: (973) 509-0978
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA03049200 New Jersey

Profile Details

NPI number 1003983339
LBN Legal business name Demarsico, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 28th, 2016 - about 8 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 1003983339 NPPES
New Jersey MEDICAID 34176185H

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