JEFFREY JOSEPH DERHAM

PHILADELPHIA, PA
NPI1740422302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: PA  MD451336)
Enumeration Date2009-03-29
Last Update Date2016-10-04
Business Address
-- JEFFREY JOSEPH DERHAM
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 267-838-6582
Mailing Address
-- JEFFREY JOSEPH DERHAM
33 N FRANKLIN ST
DOYLESTOWN, PA 18901-3546
Phone number: 215-345-5144