Organization
BLOOMSBURG PHYSICIANS SERVICES
Active
Other names
JOSE DERR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTIN A HOLLISTER (ASSISTANT PRACTICE MANAGER)
(570) 387-2166
Entity
Organization
Contact information
Practice address
101 WEST 9TH STREET, BERWICK, PA 18603
(570) 387-2166
(570) 387-2316
Mailing address
401 GLENN AVE, BLOOMSBURG, PA 17815-1419
(570) 759-2600
(570) 759-3229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50047313
CBC
PA
Enumeration date
06/19/2007
Last updated
08/22/2020
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