Provider Demographics
NPI:1841391919
Name:DEMARCO, ANTHONY M (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:DEMARCO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 LANCASTER COUNTY RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1135
Mailing Address - Country:US
Mailing Address - Phone:978-772-9797
Mailing Address - Fax:800-675-9596
Practice Address - Street 1:14 PROSPECT ST.
Practice Address - Street 2:MILFORD REGIONAL MEDICAL CENTER
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757
Practice Address - Country:US
Practice Address - Phone:508-422-2293
Practice Address - Fax:508-634-8598
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA035267207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC25108OtherBLUECROSS/BLUESHIELD
MA2063506Medicaid
MA2063506Medicaid
C25108Medicare ID - Type Unspecified