National Provider Identifier Database

PATRICIA A DERUSSO, C.R.N.P. – NPI #1386689131
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

PATRICIA A DERUSSO, C.R.N.P.
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILA - GASTRO & NUTRITION
PHILADELPHIA, PA19104-4319
Phone: 215-590-3247
Fax: 215-590-3606
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PATRICIA A DERUSSO

NPI Number 1386689131
Credentials C.R.N.P.
Entity Individual
Enumeration date 06/17/2006
Last updated 04/15/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MD License #: R114248
  • PA License #: MD048053L
  • MD Medicaid: 510050000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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