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Patricia Ann Derusso, CRNP
Pediatric Gastroenterology Physician in Philadelphia, Pennsylvania
NPI 1386689131

Patricia Ann Derusso is a Pediatric Gastroenterology Physician based in Philadelphia, PA and is specialized in Pediatric Gastroenterology. Patricia Ann Derusso practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Patricia Ann Derusso is 1386689131 and holds a License No. R114248 (Pennsylvania).

The current practice location address for Patricia Ann Derusso is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-3247 and via fax at 215-590-3606.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386689131
Provider Name
Patricia Ann Derusso
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Phone Number
215-590-3247
Fax Number
215-590-3606
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
510050000 05 MD
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-3247
Fax Number
215-590-3606
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-3247
Fax Number
215-590-3606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD048053L (Pennsylvania)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
R114248 (Maryland)
Definition
A pediatrician who 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.
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