Dr. David Michael Deramo
Sports Medicine Orthopaedic Surgeon
370 Grand Ave Ste 100
Englewood
, New Jersey 07631-4109
Dr. David Michael Deramo
Sports Medicine Orthopaedic Surgeon
370 Grand Ave Ste 100
Englewood
, New Jersey 07631-4109
(201) 567-8049
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. David Michael Deramo
- 370 Grand Ave Englewood Knee & Sports Medicine,Suite 100
- Englewood, NJ
- Zip : 07631-4154
- Fax : (201) 567-8049
- Phone : (201) 567-5700
Second Address
- Dr. David Michael Deramo
- 370 Grand Ave Ste 100
- Englewood, NJ
- Zip : 07631-4109
- Fax : (201) 567-8049
- Phone : (015) 675-7002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 25MA08226000 | NJ |
National Provider Identifier
| NPI | 1063562445 |
|---|---|
| Provider Name | Dr. David Michael Deramo |
| First Address | Englewood, NJ 07631-4154 |
| Second Address | Englewood, NJ 07631-4109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 18/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.