Gregory Derusso Ltd in Philadelphia - Internal Medicine
Gregory Derusso Ltd - NPI 1689724320
Gregory Derusso Ltd is a Internal Medicine in Philadelphia, Pennsylvania. Gregory Derusso Ltd practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gregory Derusso Ltd is 1689724320. The last update date is 2020-08-22.
Gregory Derusso Ltd's current location address is 7505 Bustleton Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153337505 and fax number 2153338131. The mailing address for Gregory Derusso Ltd is 7505 Bustleton Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gregory Derusso Ltd |
|---|---|
| Address | 7505 Bustleton Ave, Philadelphia, Pennsylvania |
| Phone Number | 2153337505 |
| Fax Number | 2153338131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Derusso Gregory |
| Credentials | MD |
| Telephone Number | 2153337505 |
NPI Number Detail
| NPI Number | 1689724320 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7505 Bustleton Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191524136 |
| Phone Number | 2153337505 |
| Fax Number | 2153338131 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Gregory Derusso Ltd's unique identification number?
The Gregory Derusso Ltd has been assigned the NPI (National Provider Identifier) Number 1689724320 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gregory Derusso Ltd's facilities are situated?
The facilities of Gregory Derusso Ltd are physically located at the following address: 7505 Bustleton Ave, Philadelphia, PA, 191524136.
What is Gregory Derusso Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Derusso Ltd's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did Gregory Derusso Ltd receive its 1689724320 assignment?
The Gregory Derusso Ltd was assigned its 1689724320 on 2007-01-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gregory Derusso Ltd most recently updated?
The details pertaining to the Gregory Derusso Ltd, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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