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Contact Information

DERICK E VERGNE, MD
800 WASHINGTON ST
TUFTS MEDICAL CENTER
BOSTON, MA02111-1552
 Phone: 617-636-0219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DERICK E VERGNE · (Male)

NPI # 1013066083
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2007
Last updated 12/21/2011 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 249376
Hospital affiliation(s) Not Available
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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