Dr. Richard Demarsico
Obstetrician & Gynecologist
33 N Fullerton Ave
Montclair
, New Jersey 07042-3464
Dr. Richard Demarsico
Obstetrician & Gynecologist
33 N Fullerton Ave
Montclair
, New Jersey 07042-3464
(973) 509-0978
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Richard Demarsico
- 33 N Fullerton Ave
- Montclair, NJ
- Zip : 07042-3464
- Fax : (973) 509-0978
- Phone : (973) 744-2226
Second Address
- Dr. Richard Demarsico
- 33 N Fullerton Ave
- Montclair, NJ
- Zip : 07042-3464
- Fax : (973) 509-0978
- Phone : (973) 744-2226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 25MA03049200 | NJ |
National Provider Identifier
| NPI | 1003983339 |
|---|---|
| Provider Name | Dr. Richard Demarsico |
| First Address | Montclair, NJ 07042-3464 |
| Second Address | Montclair, NJ 07042-3464 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 28/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 34176185H | (05) | NJ |
| C56290 | (02) | NJ |
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.