Individual
DEREK MONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 PETERBOROUGH ST, BOSTON, MA 02215-4311
(999) 999-9999
Mailing address
101 GORE ST APT 6, CAMBRIDGE, MA 02141-1222
(305) 794-3128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
271254
MA
Other
Enumeration date
03/25/2013
Last updated
04/05/2018
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