St. Demian Medical Pllc | |
5 Ivy Way Dayton NJ 08810 | |
(718) 758-4520 | |
Not Available |
Full Name | St. Demian Medical Pllc |
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Speciality | Internal Medicine |
Location | 5 Ivy Way, Dayton, New Jersey |
Authorized Official Name and Position | Victor Sharobeem (MD/OWNER) |
Authorized Official Contact | 7187584520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Demian Medical Pllc 174 Bay 29th Street Brooklyn NY 11214 Ph: (718) 758-4520 | St. Demian Medical Pllc 5 Ivy Way Dayton NJ 08810 Ph: (718) 758-4520 |
NPI Number | 1699913145 |
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Provider Enumeration Date | 01/21/2009 |
Last Update Date | 01/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699913145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 183484 (New York) | Primary |
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