Organization
DERICK E. VERGNE MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERICK VERGNE MD (PROVIDER/OWNER)
(857) 239-1911
Entity
Organization
Contact information
Practice address
179 GREAT RD STE 201, ACTON, MA 01720-5774
(857) 239-1911
(617) 544-0937
Mailing address
15 SMART RD, ACTON, MA 01720-2030
(857) 239-1911
(617) 544-0937
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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