Individual
DERIEN M PACETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3834
(575) 904-7632
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-6671
(575) 904-7632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MT230840
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
05/08/2025
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