person
Barry Derose, MS
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1619663200

Barry Derose is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Barry Derose practices in Philadelphia, PA and has the professional credentials of MS. The NPI Number for Barry Derose is 1619663200 and holds a License No. (Pennsylvania).

The current practice location address for Barry Derose is 2900 W Queen Ln, Philadelphia, PA and can be reached out via phone at 215-991-8100.

Location: 2900 W Queen Ln, Philadelphia, PA, 19129-1033
person
Provider Profile Details
NPI Number
1619663200
Provider Name
Barry Derose
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2900 W Queen Ln, Philadelphia, PA, 19129-1033
Phone Number
215-991-8100
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 W Queen Ln
City
State
Zip
19129-1033
Phone Number
215-991-8100
Fax Number
person
Provider Business Mailing Address Details
Address
2900 W Queen Ln
City
State
Zip
19129-1033
Phone Number
215-991-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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