Individual
DR. GWENDOLYN MARGARET DERRICOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2830 EASTON AVE, BETHLEHEM, PA 18017-4204
(484) 526-3555
(833) 822-5230
Mailing address
2830 EASTON AVE, BETHLEHEM, PA 18017-4204
(484) 526-3555
(833) 822-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT020538
PA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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