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Mr. Joseph N Deraville SR., PA-C
Medical Physician Assistant in Iselin, New Jersey
NPI 1144536152

Joseph N Deraville SR. is a Medical Physician Assistant based in Iselin, NJ and is specialized in Medical. Joseph N Deraville SR. practices in Iselin, NJ and has the professional credentials of PA-C. The NPI Number for Joseph N Deraville SR. is 1144536152 and holds a License No. 25MP00142700 (New Jersey).

The current practice location address for Joseph N Deraville SR. is 557 New Dover Rd, Iselin, NJ and can be reached out via phone at 732-388-4128.

Location: 557 New Dover Rd, Iselin, NJ, 08830-1127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144536152
Provider Name
Joseph N Deraville SR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
557 New Dover Rd, Iselin, NJ, 08830-1127
Phone Number
732-388-4128
Fax Number
Provider Enumeration Date
08/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
557 New Dover Rd
City
Iselin
State
New Jersey
Zip
08830-1127
Phone Number
732-388-4128
Fax Number
person
Provider Business Mailing Address Details
Address
557 New Dover Rd
City
Iselin
State
New Jersey
Zip
08830-1127
Phone Number
732-388-4128
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
25MP00142700 (New Jersey)
Definition
Definition to come...
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