Patricia Ann Derusso
C.R.N.P. | Pediatric Gastroenterology | Male
Patricia Ann Derusso, C.R.N.P. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Patricia Ann Derusso is
3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition, Philadelphia, Pennsylvania - 19104-4319. He can be contacted on phone at
215-590-3247 and fax number 215-590-3606.
Patricia Ann Derusso is a sole proprietor of his business.
NPI number (Unique professional ID) for Patricia Ann Derusso is
1386689131 which was assigned by NPPES on 17 Jun, 2006 and it was last updated on 15 Apr, 2013.
Patricia Ann Derusso license number is
MD048053L for Pediatrics Pediatric Gastroenterology (2080P0206X) in Pennsylvania.
Patricia Ann Derusso specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Patricia Ann Derusso basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Patricia Ann Derusso |
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| Credential : | C.R.N.P. |
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| Gender : | Male |
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Business Address:
Patricia Ann Derusso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-3247 |
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| Fax Number : | 215-590-3606 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386689131 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jun, 2006 |
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| Last Updated On : | 15 Apr, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patricia Ann Derusso are as mentioned. Primary taxonomy code for Patricia Ann Derusso, C.R.N.P. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | R114248 | MD |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD048053L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Patricia Ann Derusso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 510050000 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 E Penn Sq, 9th Floor
Philadelphia, PA, 19107-3323
United States |
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| Phone Number : | 267-425-9234 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Patricia Ann Derusso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.