Individual
DR. VICTORIA MARIE DEREVIANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215
(617) 667-3110
Mailing address
5801 NICHOLSON LN, SUITE # 606, ROCKVILLE, MD 20852-5719
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
273964
MA
Other
Enumeration date
06/10/2010
Last updated
05/29/2018
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