Demreca LLC

NPI #1114195500 in Avalon, New Jersey

Provider Information

NPI Number: 1114195500
Entity Type: Organization
Organization Name: Demreca LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 261 51ST ST
City: Avalon
State: New Jersey
ZIP Code: 08202-1310
Phone: (609) 624-8986

Authorized Official

Name: DR. THOMAS DIERKES, D.O.
Title: PRESIDENT
Phone: (609) 624-8986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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