Individual
DERRICK A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 747-4541
(860) 793-1218
Mailing address
1900SEPORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5554
(772) 335-2614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23594
CT
Other
Enumeration date
09/25/2007
Last updated
10/09/2015
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