Individual
DEREK ANTHONY DIANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-2100
Mailing address
3600 FORBES AVENUE, FORBES TOWER PLAZA LEVEL SUITE 140, PITTSBURGH, PA 15213
(412) 647-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060891
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
08/19/2019
Last updated
04/13/2026
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