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Jerome D. Derdel, MD
Therapeutic Radiology Physician in State College, Pennsylvania
NPI 1104812601

Jerome D. Derdel is a Therapeutic Radiology Physician based in Danville, PA and is specialized in Therapeutic Radiology. Jerome D. Derdel practices in State College, PA and has the professional credentials of MD. The NPI Number for Jerome D. Derdel is 1104812601 and holds a License No. MD038685L (Pennsylvania).

The current practice location address for Jerome D. Derdel is 1800 E Park Ave, State College, PA and can be reached out via phone at 814-234-6726 and via fax at 814-234-1553.

Location: 1800 E Park Ave, State College, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104812601
Provider Name
Jerome D. Derdel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 E Park Ave, State College, PA, 17822-4903
Phone Number
814-234-6726
Fax Number
814-234-1553
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104812601 01 NPI
institution
Provider Business Practice Location Address Details
Address
1800 E Park Ave
City
State College
State
Pennsylvania
Zip
16803-6709
Phone Number
814-234-6726
Fax Number
814-234-1553
person
Provider Business Mailing Address Details
Address
1800 E Park Ave
City
State College
State
Pennsylvania
Zip
16803-6709
Phone Number
814-234-6726
Fax Number
814-234-1553
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
MD038685L (Pennsylvania)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
MD038685L (Pennsylvania)
Definition
Definition to come...
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