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NPI Code Detail

MEDICARE: JOHN JAMES DEMARCHI M.D.

MEDICARE:   JOHN JAMES DEMARCHI  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
1207X00000XOrthopaedic Surgery Physician104410NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245253889
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JAMES DEMARCHI M.D.
Provider Business Mailing Address
First Line : 3673 SOUTHWESTERN BLVD
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-1740
Country : US
Telephone Number : 716-662-8093
Fax Number : 716-662-2969
Provider Business Practice Location Address
First Line : 3673 SOUTHWESTERN BLVD
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-1740
Country : US
Telephone Number : 716-662-8093
Fax Number : 716-662-2969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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