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NPI Code Detail

MEDICARE: PAUL DEMJANENKO MD

MEDICARE: PAUL DEMJANENKO MD
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
1207RC0000XCardiovascular Disease Physician35-055020OH
2207RC0000XCardiovascular Disease PhysicianMD033792EPA
3207RC0000XCardiovascular Disease Physician221030-1NY

General Provider Information

NPI Number : 1518961564
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL DEMJANENKO MD
Provider Business Mailing Address
First Line : 120 E 2ND ST FL 2
Second Line :
City : ERIE
State : PA
Zip : 16507-1579
Country : US
Telephone Number : 144-568-9808
Fax Number : 814-451-0443
Provider Business Practice Location Address
First Line : 120 E 2ND ST
Second Line : 2ND FLOOR
City : ERIE
State : PA
Zip : 16507-1537
Country : US
Telephone Number : 814-456-8980
Fax Number : 814-451-0043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 01/26/2026

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Directions to “ PAUL DEMJANENKO MD” Practice Location

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