Search › Pennsylvania › 207R00000X
Gregory Derusso, M.D
NPI 1316959141 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7505 Bustleton Ave
Philadelphia, PA 19152 - Phone
- (215) 333-7505
- Fax
- (215) 333-8131
- Organisation at this address
- Gregory Derusso Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania