MEDICARE: DR. ALLEN MARTIN DEMBY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	0019160	NJ

General Provider Information

NPI Number	:	1720246408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN MARTIN DEMBY M.D.

Provider Business Mailing Address
First Line	:	388 CARRIAGE LN
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-2307
Country	:	US
Telephone Number	:	201-891-5038
Fax Number	:	201-891-0996

Provider Business Practice Location Address
First Line	:	388 CARRIAGE LN
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-2307
Country	:	US
Telephone Number	:	201-891-5038
Fax Number	:	201-891-0996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	06/14/2026

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