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Individual
DR. JAMES B. DEREN
Active
Individual
DR. JAMES B. DEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0042053
MD
208D00000X
General Practice Physician
25568
WV
208D00000X
General Practice Physician
Primary
D0042053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044030000
—
WV
01
—
080100953
TRAVELERS MEDICARE
MD
01
—
53450104
CAREFIRST BC BS
MD
05
—
751321600
—
MD
01
—
K029 0001
BLUE CHOICE
DC
Enumeration date
07/20/2005
Last updated
12/02/2025
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