National Provider Identifier Database

JEROME D DERDEL, MD – NPI #1104812601
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

JEROME D DERDEL, MD
1800 E PARK AVE
STATE COLLEGE, PA16803-6709
Phone: 814-234-6726
Fax: 814-234-1553
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for JEROME D DERDEL

NPI Number 1104812601
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 06/21/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • PA License #: MD038685L
  • Other: 1104812601 NPI
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.

Reviews for JEROME D DERDEL, MD

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