Individual
DR. CHRIS T DERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, SUITE 600, PHILADELPHIA, PA 19104-4208
(215) 662-2454
(215) 923-5828
Mailing address
3400 SPRUCE ST, 14TH FLOOR, PHILADELPHIA, PA 19104-4208
(215) 662-2454
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD060853L
PA
207RR0500X
Rheumatology Physician
Primary
MD060853L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005398
—
PA
05
—
001961082
—
PA
Enumeration date
07/25/2006
Last updated
11/23/2011
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