Demoleas, Spero Evan
Demoleas, Spero Evan is an sole proprietor health care provider with primary practice located at 215 Old Tappan Rd , Old Tappan NJ 07675-7000. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Demoleas, Spero Evan can be contacted via phone (201) 930-9090.Contact Information
Primary practice address
215 Old Tappan Rd
Old Tappan NJ 07675-7000
Phone: (201) 930-9090
Fax: (201) 930-1823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | MD01964 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N004380 | New York |
Profile Details
| NPI number | 1295776755 |
|---|---|
| LBN Legal business name | Demoleas, Spero Evan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295776755 | NPPES |
| New York | Other | PG6421 | BC/BS NY |
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