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Contact Information

MARK A DEMIDOVICH, MD
233 GEORGE JUNIOR RD
GROVE CITY, PA16127
 Phone: 724-421-3355
 Fax: 724-406-0240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARK A DEMIDOVICH · (Male)

NPI # 1699859017
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD427222
  • PA Other 1879793 HIGHMARK PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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