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NPI Code Detail

MEDICARE: COURTNEY M DEMAIO MSW

MEDICARE: COURTNEY M DEMAIO MSW
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
11041C0700XClinical Social Worker44SL06292700NJ

General Provider Information

NPI Number : 1639688542
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY M DEMAIO MSW
Provider Business Mailing Address
First Line : PO BOX 120
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-0120
Country : US
Telephone Number : 732-497-2656
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5989
Country : US
Telephone Number : 732-497-2656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2017
Last Update Date : 06/05/2023

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