Individual
JUAN J DEROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Mailing address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD025633E
PA
2086S0129X
Vascular Surgery Physician
Primary
MD025633E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013872
—
PA
Enumeration date
03/08/2006
Last updated
09/17/2021
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