| Patrick J Demare Do, Pa | |
|
63 Beaverbrook Rd Suite 101 Lincoln Park NJ 07035-1440 | |
| (973) 696-1087 | |
| (973) 686-1916 |
| Full Name | Patrick J Demare Do, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 63 Beaverbrook Rd, Lincoln Park, New Jersey |
| Authorized Official Name and Position | Patrick J Demare (SOLE PROPRIETOR) |
| Authorized Official Contact | 9736961087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Demare Do, Pa 63 Beaverbrook Rd Suite 101 Lincoln Park NJ 07035-1440 Ph: (973) 696-1087 | Patrick J Demare Do, Pa 63 Beaverbrook Rd Suite 101 Lincoln Park NJ 07035-1440 Ph: (973) 696-1087 |
| NPI Number | 1316230402 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 05/24/2011 |
| Medicare PECOS PAC ID | 6709064934 |
|---|---|
| Medicare Enrollment ID | O20110617000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316230402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB03247600 (New Jersey) | Primary |
| Provider Name | Patrick Demare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245308402 PECOS PAC ID: 0143408377 Enrollment ID: I20110617000083 |
Joel G. Fischgrund M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035 Phone: 973-696-6687 Fax: 973-696-2260 |