Active NPIIndividual providerSole proprietor

Dr. Deborah A Derose, DPM

Podiatrist in Fairfield, Connecticut

NPI Number1902827496
Practice location
880 Old Post RD, Fairfield, CT 06824-8403
Fax
203-255-4743
Last updated
December 23, 2011

Deborah Ann Derose is a Podiatrist based in Fairfield, CT. Deborah Ann Derose practices in Fairfield, CT and has the professional credentials of DPM. The NPI Number for Deborah Ann Derose is 1902827496 and holds a License No. 000304 (CT). The current practice location address for Deborah Ann Derose is 880 Old Post RD, Fairfield, CT 06824-8403 and can be reached out via phone at 203-259-4229 and via fax at 203-255-4743.

Provider Profile Details

NPI Number
1902827496
Provider Name
Deborah Ann Derose
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
880 Old Post RD, Fairfield, CT 06824-8403
Phone Number
203-259-4229
Fax Number
203-255-4743
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2006
Last Update Date
December 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
880 Old Post RD
Fairfield, CT 06824-8403
Zip
06824-8403
Phone Number
203-259-4229
Fax Number
203-255-4743
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
880 Old Post RD
Fairfield, CT 06824-8403
City
Fairfield
State
CT
Zip
06824-8403
Phone Number
203-259-4229
Fax Number
203-255-4743

License Information

License Number (1)
000304
License State (1)
CT
Taxonomy (1)
Podiatrist, Sports Medicine · 213ES0000X
License Number (2)
000304
License State (2)
CT
Taxonomy (2)
· 213ES0131X
License Number (3)
000304
License State (3)
CT
Taxonomy (3)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

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

Other Podiatrists near Fairfield, CT

View all Podiatrists in Fairfield →

Frequently Asked Questions

What is the NPI number of Dr. Deborah A Derose, DPM?

The NPI number of Dr. Deborah A Derose, DPM is 1902827496. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Deborah A Derose, DPM?

Dr. Deborah A Derose, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in CT under license number 000304.

Where does Dr. Deborah A Derose, DPM practice?

The practice location is 880 Old Post RD, Fairfield, CT 06824-8403. The office can be reached at 203-259-4229 (phone) or 203-255-4743 (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 1902827496 directly on the NPPES registry website.

Browse related providers