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Dr. Alicia Derusso St. Thomas, MD
Student in an Organized Health Care Education/Training Program in Falls Church, Virginia
NPI 1982220190

Alicia Derusso St. Thomas is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Alicia Derusso St. Thomas practices in Falls Church, VA and has the professional credentials of MD. The NPI Number for Alicia Derusso St. Thomas is 1982220190 and holds a License No. (Virginia).

The current practice location address for Alicia Derusso St. Thomas is Obgyn Admin Suite 2Nd Floor South Tower, Falls Church, VA and can be reached out via phone at 860-227-5495.

Location: Obgyn Admin Suite 2Nd Floor South Tower, Falls Church, VA, 22031-3240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982220190
Provider Name
Alicia Derusso St. Thomas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Obgyn Admin Suite 2Nd Floor South Tower, Falls Church, VA, 22031-3240
Phone Number
860-227-5495
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Obgyn Admin Suite 2Nd Floor South Tower
City
Falls Church
State
Virginia
Zip
22042
Phone Number
860-227-5495
Fax Number
person
Provider Business Mailing Address Details
Address
Obgyn Admin Suite 2Nd Floor South Tower
City
Falls Church
State
Virginia
Zip
22042
Phone Number
860-227-5495
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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