Provider Demographics
NPI:1720246408
Name:DEMBY, ALLEN MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:MARTIN
Last Name:DEMBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:388 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2307
Mailing Address - Country:US
Mailing Address - Phone:201-891-5038
Mailing Address - Fax:201-891-0996
Practice Address - Street 1:388 CARRIAGE LN
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2307
Practice Address - Country:US
Practice Address - Phone:201-891-5038
Practice Address - Fax:201-891-0996
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ0019160207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1547073OtherDEA