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General NPI Number Information
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NPI Number | 1528329158
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Entity Type | Individual
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Provider Name | JOSEPH CHRISTOPHER DEMARCO D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 150 PARK AVE
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City | FLORHAM PARK
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State | NJ
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Zip | 07932
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Country | US
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Telephone | 734-372-6009
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Fax | 973-660-1838
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Provider Business Mailing Address
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Address Line | 711 TROY SCHENECTADY RD SUITE 203
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City | LATHAM
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State | NY
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Zip | 12110-2442
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Country | US
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Telephone | 518-782-3700
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Fax | 518-782-3799
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MB10294600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 285936
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License Number State | NY
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