DOMINIC DERENGE

PHILADELPHIA, PA
NPI1033598339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS019248)
Enumeration Date2015-05-20
Last Update Date2018-10-10
Business Address
DOMINIC DERENGE D.O.
4417 N 6TH ST
PHILADELPHIA, PA 19140-2319
Phone number: 215-302-6000
Mailing Address
DOMINIC DERENGE D.O.
4417 N 6TH ST
PHILADELPHIA, PA 19140-2319
Phone number: 215-302-3600
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