Individual
DR. LOIS MAY DERITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
73 W END AVE, SOMERVILLE, NJ 08876-1828
(732) 560-9770
Mailing address
73 W END AVE, SOMERVILLE, NJ 08876-1828
(732) 560-9770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04316200
NJ
Other
Enumeration date
11/17/2006
Last updated
07/11/2007
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