NPI Index

PATRICIA DERUSSO, C.R.N.P.

Pediatrics - Pediatric Gastroenterology

Active Individual
NPI: 1386689131

Practice Address

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILA - GASTRO & NUTRITION
Philadelphia, PA 19104

Phone: (215) 590-3247

Specialties

Specialty Code Primary License
Pediatrics 208000000X No R114248 (MD)
Pediatrics - Pediatric Gastroenterology 2080P0206X Yes MD048053L (PA)

Frequently Asked Questions

NPI 1386689131 is the National Provider Identifier for PATRICIA DERUSSO, C.R.N.P., a Pediatrics - Pediatric Gastroenterology provider located in Philadelphia, PA. This NPI was enumerated on June 17, 2006.
PATRICIA DERUSSO, C.R.N.P. practices at 3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILA - GASTRO & NUTRITION, Philadelphia, PA 19104.

Quick Facts

NPI
1386689131
Type
Individual
Enumerated
Jun 17, 2006
Last Updated
Apr 15, 2013

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