Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK A DEMIDOVICH, M.D.
Active Sole ProprietorDR. MARK A DEMIDOVICH, M.D. is a Psychiatric Neurology healthcare provider located in GROVE CITY, Pennsylvania. NPI 1699859017 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · GROVE CITY, PA
Registration Details
- NPI Number
- 1699859017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.84091173839 yrs)
- Last Updated
- Sep 13, 2018
- Licenses
-
MD427222 (PA)MD427222 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
233 GEORGE JUNIOR RDGROVE CITY, PA, 16127Browse PA providers · Browse ZIP 16127
- Phone
- 7244213355
- Fax
- 7244060240
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.