Individual
STUART Z DERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
735 FITZWATERTOWN RD, SUITE 4, WILLOW GROVE, PA 19090-1338
(215) 914-4400
(215) 657-4887
Mailing address
735 FITZWATERTOWN RD, STE 4, WILLOW GROVE, PA 19090-1338
(215) 914-4400
(215) 657-4887
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M0016967E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007299380001
—
PA
Enumeration date
08/10/2005
Last updated
12/02/2015
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