Provider Demographics
NPI:1760593370
Name:DEMARCO, ANTHONY J (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:DEMARCO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 WOODHILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3012
Mailing Address - Country:US
Mailing Address - Phone:267-226-0050
Mailing Address - Fax:215-504-8334
Practice Address - Street 1:9525 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2812
Practice Address - Country:US
Practice Address - Phone:215-333-9696
Practice Address - Fax:215-333-8514
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007111L207L00000X
NJ207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2641124000OtherAMERIHEALTH PPO
PA01414076Medicaid
PA49665OtherBLUE SHIELD FEDERAL PROGR
PA0661247000OtherKEYSTONE HEALTH PLAN EAST
PA49665OtherHIGHMARK BLUE CROSS
PA0661247000OtherPERSONAL CHOICE
PA0661247000OtherPERSONAL CHOICE
PAF60827Medicare UPIN