Individual provider · Type 1 NPI

Patricia Ann Derusso, C.R.N.P.

Pediatric Gastroenterology Physician · Philadelphia, PA

NPI number 1386689131 Active

Practice location

3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition
Philadelphia, PA 19104-4319

Call (215) 590-3247 Map

Fax (215) 590-3606

Mailing address

100 E Penn Sq, 9th Floor
Philadelphia, PA 19107-3323

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XR114248 (MD)
Pediatric Gastroenterology Physician Primary 2080P0206XMD048053L (PA)

Pediatric Gastroenterology Physician: 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.

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About NPI 1386689131

Patricia Ann Derusso, C.R.N.P.'s National Provider Identifier is 1386689131, issued on Jun 17, 2006. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 15, 2013.