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Dominic Derenge, DO
Family Medicine Physician in Philadelphia, Pennsylvania
NPI 1033598339

Dominic Derenge is a Family Medicine Physician based in Philadelphia, PA. Dominic Derenge practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Dominic Derenge is 1033598339 and holds a License No. OS019248 (Pennsylvania).

The current practice location address for Dominic Derenge is 4417 N 6Th St, Philadelphia, PA and can be reached out via phone at 215-302-6000.

Location: 4417 N 6Th St, Philadelphia, PA, 19140-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033598339
Provider Name
Dominic Derenge
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4417 N 6Th St, Philadelphia, PA, 19140-2319
Phone Number
215-302-6000
Fax Number
Provider Enumeration Date
05/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1034592020004 05 PA
1034592020002 05 PA
1034592020003 05 PA
institution
Provider Business Practice Location Address Details
Address
4417 N 6Th St
City
Philadelphia
State
Pennsylvania
Zip
19140-2319
Phone Number
215-302-6000
Fax Number
person
Provider Business Mailing Address Details
Address
4417 N 6Th St
City
Philadelphia
State
Pennsylvania
Zip
19140-2319
Phone Number
215-302-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS019248 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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