MEDICARE: DEMAR INDUSTRIES

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1043390198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEMAR INDUSTRIES

Provider Business Mailing Address
First Line	:	251 SHAW RD
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-6605
Country	:	US
Telephone Number	:	800-835-4672
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 SHAW ROAD
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-6605
Country	:	US
Telephone Number	:	650-615-9357
Fax Number	:	650-615-9358

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL DEMARIA
Credential	:
Telephone Number	:	800-835-4672

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	06/20/2018

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