Provider Demographics
NPI:1508827908
Name:DEMARCO, JOSEPH FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANK
Last Name:DEMARCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ATWATER AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1287
Mailing Address - Country:US
Mailing Address - Phone:978-525-3800
Mailing Address - Fax:978-525-2095
Practice Address - Street 1:8 ATWATER AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01944-1287
Practice Address - Country:US
Practice Address - Phone:978-525-3800
Practice Address - Fax:978-525-2095
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36143OtherBLUE CROSS BLUE SHIELD
AA33117OtherHARVARD PILGRIM
2186493OtherAETNA HEALTHCARE
MAY36143OtherBLUE CROSS BLUE SHIELD
Y36143Medicare UPIN
Y36143Medicare ID - Type Unspecified