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215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | |
| (201) 930-9090 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 215 Old Tappan Rd, Old Tappan, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114686888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 Ph: () - | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 Ph: (201) 930-9090 |
Dr. Spero Evan Demoleas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 Old Tappan Rd, Old Tappan, NJ 07675 Phone: 201-930-9090 Fax: 201-930-1823 | |
Spero E Demoleas Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 Old Tappan Rd, Old Tappan, NJ 07675 Phone: 201-930-9090 Fax: 201-930-1823 |