Active NPIIndividual providerSole proprietor

Dr. Deborah S Derderian, DO

Internal Medicine in Mendon, Massachusetts

NPI Number1619123205
Practice location
12 Uxbridge Road, Mendon, MA 01756-1311
Fax
508-634-6813
Last updated
November 21, 2025

Deborah S. Derderian is an Internal Medicine based in Mendon, MA. Deborah S. Derderian practices in Mendon, MA and has the professional credentials of DO. The NPI Number for Deborah S. Derderian is 1619123205 and holds a License No. 243757 (MA). The current practice location address for Deborah S. Derderian is 12 Uxbridge Road, Mendon, MA 01756-1311 and can be reached out via phone at 508-634-6620 and via fax at 508-634-6813.

Provider Profile Details

NPI Number
1619123205
Provider Name
Deborah S. Derderian
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
12 Uxbridge Road, Mendon, MA 01756-1311
Phone Number
508-634-6620
Fax Number
508-634-6813
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2008
Last Update Date
November 21, 2025
Certification Date
November 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Uxbridge Road
Mendon, MA 01756-1311
City
Mendon
Zip
01756-1311
Phone Number
508-634-6620
Fax Number
508-634-6813
Mendon, MA 01756Get directions →

Provider Business Mailing Address Details

Address
9 Industrial RD Ste 5
Milford, MA 01757-3736
City
Milford
State
MA
Zip
01757-3736
Phone Number
508-473-1480
Fax Number
508-473-1210

License Information

License Number (1)
243757
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
233213
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Deborah S Derderian, DO?

The NPI number of Dr. Deborah S Derderian, DO is 1619123205. It was assigned on August 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Deborah S Derderian, DO?

Dr. Deborah S Derderian, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 243757.

Where does Dr. Deborah S Derderian, DO practice?

The practice location is 12 Uxbridge Road, Mendon, MA 01756-1311. The office can be reached at 508-634-6620 (phone) or 508-634-6813 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619123205 directly on the NPPES registry website.

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