Deborah Ann Derose in Fairfield - Sports Medicine

Deborah Ann Derose - NPI 1902827496

Deborah Ann Derose is a Sports Medicine in Fairfield, Connecticut. Deborah Ann Derose practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Deborah Ann Derose is 1902827496. The last update date is 2011-12-23.

Deborah Ann Derose's current location address is 880 Old Post Rd, Fairfield, Connecticut. You can contact this provider via phone number 2032594229 and fax number 2032554743. The mailing address for Deborah Ann Derose is 880 Old Post Rd, Fairfield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah Ann Derose
Address 880 Old Post Rd, Fairfield, Connecticut
Phone Number 2032594229
Fax Number 2032554743
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1902827496
Provider Enumeration Date 2006-07-21
Last Updated Date 2011-12-23

Provider Mailing Address Detail

Address 880 Old Post Rd
City Fairfield
State Connecticut (CT)
Post Code 68248403
Phone Number 2032594229
Fax Number 2032554743

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 213Es0000X
Licence No 304
Definition:
A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities.

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FAQs about Deborah Ann Derose

What is the unique 10-digit identifier code assigned to Deborah Ann Derose by the Centers for Medicare & Medicaid Services?

The Deborah Ann Derose has been issued the NPI (National Provider Identifier) 1902827496 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Deborah Ann Derose's facilities are situated?

The facilities of Deborah Ann Derose are physically located at the following address: 880 Old Post Rd, Fairfield, CT, 68248403.

What is Deborah Ann Derose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Deborah Ann Derose's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902827496 to Deborah Ann Derose?

The Centers for Medicare & Medicaid Services originally issued the 1902827496 to Deborah Ann Derose on 2006-07-21.

When was the information regarding Deborah Ann Derose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Deborah Ann Derose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-23.

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