Individual
MICHAEL L DERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 BROCKTON AVE, ABINGTON, MA 02351-2186
(781) 878-1700
(508) 894-0412
Mailing address
360 BROCKTON AVE, ABINGTON, MA 02351-2186
(781) 878-1700
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43408
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114006
—
MA
Enumeration date
11/11/2005
Last updated
01/12/2024
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