Sheryl Derderian in West Springfield - Geriatric Medicine

Sheryl Derderian - NPI 1801976352

Sheryl Derderian is a Geriatric Medicine in West Springfield, Massachusetts. Sheryl Derderian practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Sheryl Derderian is 1801976352. The last update date is 2014-08-01.

Sheryl Derderian's current location address is 46 Daggett Drive, West Springfield, Massachusetts. You can contact this provider via phone number 4137949110 and fax number 4137949116. The mailing address for Sheryl Derderian is 46 Daggett Drive, West Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sheryl Derderian
Address 46 Daggett Drive, West Springfield, Massachusetts
Phone Number 4137949110
Fax Number 4137949116
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1801976352
Provider Enumeration Date 2006-10-17
Last Updated Date 2014-08-01

Provider Mailing Address Detail

Address 46 Daggett Drive
City West Springfield
State Massachusetts (MA)
Post Code 1089
Phone Number 4137949110
Fax Number 4137949116

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 156396
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500025819 MA RAILROAD MEDICARE
NP1137 MA CONNECTICARE
344061 MA --
NP1137 MA BLUE CROSS

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FAQs about Sheryl Derderian

What is the unique identifier code issued to Sheryl Derderian by the Centers for Medicare & Medicaid Services (CMS)?

The Sheryl Derderian has been assigned the NPI (National Provider Identifier) 1801976352. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Sheryl Derderian?

The Sheryl Derderian is physically situated at 46 Daggett Drive, in the city of West Springfield, state of MA, with the postal code 1089.

What is Sheryl Derderian's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sheryl Derderian is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rg0300X.

When was the Sheryl Derderian's 1801976352 issued?

The Sheryl Derderian's 1801976352 was issued on 2006-10-17.

When was the information related to Sheryl Derderian most recently updated or refreshed?

The details pertaining to the Sheryl Derderian, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-01.

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