Provider Demographics
NPI:1588824163
Name:DEMURO & ASSOCIATES LLC
Entity Type:Organization
Organization Name:DEMURO & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:DEMURO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-471-9494
Mailing Address - Street 1:338 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3158
Mailing Address - Country:US
Mailing Address - Phone:973-471-9494
Mailing Address - Fax:973-778-4649
Practice Address - Street 1:338 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3158
Practice Address - Country:US
Practice Address - Phone:973-471-9494
Practice Address - Fax:973-778-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB037972261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care