Individual
DR. DEANNA M. DERUSSO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116A EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
(703) 771-7377
(701) 771-8288
Mailing address
116A EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
(703) 771-7377
(701) 771-8288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101050493
VA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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