Demian, Bassem M

Demian, Bassem M is an sole proprietor health care provider with primary practice located at 292 Herbertsville Rd , Brick NJ 08724-1734. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Demian, Bassem M can be contacted via phone (732) 840-8989.

Contact Information

Primary practice address
292 Herbertsville Rd Brick NJ 08724-1734
Phone: (732) 840-8989
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00215100 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00215100 New Jersey

Profile Details

NPI number 1710957733
LBN Legal business name Demian, Bassem M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jan 14th, 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 1710957733 NPPES
New Jersey MEDICAID 5549604

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