Individual
JEFFREY JOSEPH DERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 838-6582
Mailing address
33 N FRANKLIN ST, DOYLESTOWN, PA 18901-3546
(215) 345-5144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD451336
PA
Other
Enumeration date
03/29/2009
Last updated
10/04/2016
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