Individual
RUBY NEPHTALIE DEROGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 CENTRE AVE STE 610, PITTSBURGH, PA 15232-1326
(412) 864-6472
Mailing address
6556 ROSEMOOR ST APT 2, PITTSBURGH, PA 15217-3026
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059284
PA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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