Individual provider · Type 1 NPI
Joseph N. Deraville Sr., PA-C
Medical Physician Assistant · Iselin, NJ
NPI number
1144536152
Active
Practice location
557 New Dover Rd
Iselin, NJ 08830-1127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 25MP00142700 (NJ) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Iselin
About NPI 1144536152
Joseph N. Deraville Sr., PA-C's National Provider Identifier is 1144536152, issued on Aug 27, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Iselin, NJ. The record was last updated on Aug 27, 2010.