Provider Demographics
NPI:1386727097
Name:DIMARCO, CLAUDE J (DO)
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:J
Last Name:DIMARCO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8468 HERRING RUN RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5763
Mailing Address - Country:US
Mailing Address - Phone:302-629-3400
Mailing Address - Fax:302-629-5300
Practice Address - Street 1:8468 HERRING RUN RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5763
Practice Address - Country:US
Practice Address - Phone:302-629-3400
Practice Address - Fax:302-629-5300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20003456207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000213203OtherDELAWARE PHYS CARE
DE0000213203Medicaid
DE397331OtherALLIANCE, MAMSI, OPT CHOI
DE510413559OtherCIGNA
DEE70145OtherBCBS DE
DE040016600OtherRAILROAD MEDICARE
DE0424414000OtherAMERIHEALTH
DE510413559OtherCOVENTRY
DE510413559OtherAETNA
DE510413559OtherCOVENTRY
DE0000213203Medicaid