Individual
DERRICK HEYDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
140 CENTRAL AVE STE 700, CLARK, NJ 07066-1121
(973) 943-5042
(973) 943-5032
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58.007498
OH
Other
Enumeration date
05/06/2016
Last updated
10/01/2024
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