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1275989402
DERRICK HEYDINGER
CLARK, NJ
NPI
1275989402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: OH 58.007498)
Enumeration Date
2016-05-06
Last Update Date
2024-10-01
Business Address
DERRICK HEYDINGER D.O.
140 CENTRAL AVE STE 700
CLARK, NJ 07066-1121
Phone number: 973-943-5042
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Mailing Address
DERRICK HEYDINGER D.O.
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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