Individual
DEREK P. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(570) 417-5452
Mailing address
239 EAST BROWN STREET, MEDICAL ASSOCIATES OF MONROE COUNTY, E STROUDSBURG, PA 18301
(570) 421-3872
(570) 424-6631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116387ECN
MEDICARE
—
Enumeration date
06/30/2006
Last updated
06/18/2025
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