Joseph Stephen Demidovich III D.O.

NPI 1609059112 - Internal Medicine - 207RP1001X

NPI Details
NPI 1609059112
Gender Male
Enumeration Date 12/07/2007
Last Updated 12/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
609 W. GERMANTOWN PIKE
SUITE 210
EAST NORRITON PA, 19403-3352, US
Phone (610) 275-2446
Fax (610) 275-3266
Business Location
609 W. GERMANTOWN PIKE
SUITE 210
EAST NORRITON PA, 19403-3352, US
Phone (610) 275-2446
Fax (610) 275-3266
Toxanomy
Taxonomy Code 207RP1001X
License State New Jersey
License Number 25MB08581900
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According to our database, Dr. Joseph Stephen Demidovich III D.O. NPI is 1609059112, taxonomy code is 207RP1001X and license number is 25MB08581900, license state is located at New Jersey. Joseph Stephen Demidovich III D.O. physically located at 609 W. Germantown Pike, East Norriton PA, 19403-3352. NPI Number Joseph Stephen Demidovich III D.O. has the Individual type.

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1609059112 NPI number is provided on an as is basis without warranty of any kind. 1609059112 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Stephen Demidovich III D.O. are for informational purposes only.