Individual
DR. ALBERT T. DERIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23438 SHANNONDELL DR, AUDUBON, PA 19403-5675
(215) 260-1721
(610) 382-6813
Mailing address
23438 SHANNONDELL DR, AUDUBON, PA 19403-5675
(215) 260-1721
(610) 382-6813
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD034282E
PA
Other
Enumeration date
06/23/2005
Last updated
04/01/2021
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