Individual
JULIUS J DEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 662-0950
Mailing address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 662-0950
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD010674E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000740004
—
PA
Enumeration date
11/09/2006
Last updated
02/03/2011
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