Individual
BRUCE M DERRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
599 W STATE ST, SUITE 301, DOYLESTOWN, PA 18901-2567
(215) 348-7195
(215) 348-8633
Mailing address
599 W STATE ST, SUITE 301, DOYLESTOWN, PA 18901-2567
(215) 348-7195
(215) 348-8633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD017889E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006800400003
—
PA
Enumeration date
07/26/2005
Last updated
07/08/2007
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