Organization
ANTHONY J DERRICO DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WHITFIELD (MEDICAL SVCS MNGR)
(248) 997-9000
Entity
Organization
Contact information
Practice address
CANCER CARE ASSOCIATES PC, 1701 S BLVD EAST STE 350, ROCHESTER HILLS, MI 48307
(248) 997-9000
(248) 997-9007
Mailing address
CANCER CARE ASSOCIATES PC, 1701 S BLVD EAST STE 350, ROCHESTER HILLS, MI 48307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
5101006815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367337
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/21/2006
Last updated
08/22/2020
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