| Demuro & Associates Llc | |
|
338 Chestnut St Passaic NJ 07055-3158 | |
| (973) 471-9494 | |
| (973) 778-4649 |
| Full Name | Demuro & Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 338 Chestnut St, Passaic, New Jersey |
| Authorized Official Name and Position | Paul G Demuro (OWNER) |
| Authorized Official Contact | 9734719494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Demuro & Associates Llc 338 Chestnut St Passaic NJ 07055-3158 Ph: (973) 471-9494 | Demuro & Associates Llc 338 Chestnut St Passaic NJ 07055-3158 Ph: (973) 471-9494 |
| NPI Number | 1588824163 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 1557420973 |
|---|---|
| Medicare Enrollment ID | O20081030000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588824163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MB037972 (New Jersey) | Primary |
| Provider Name | Paul G Demuro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992883235 PECOS PAC ID: 4284793605 Enrollment ID: I20081030000087 |
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