Provider Demographics
NPI:1609015965
Name:DEMARCO, JAMES CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHARLES
Last Name:DEMARCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 QUEEN ST
Mailing Address - Street 2:#4403
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4138
Mailing Address - Country:US
Mailing Address - Phone:808-589-2906
Mailing Address - Fax:
Practice Address - Street 1:1177 QUEEN ST
Practice Address - Street 2:#4403
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4138
Practice Address - Country:US
Practice Address - Phone:808-589-2906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD15043208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine