Individual provider · Type 1 NPI

Barry Derose, MS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1619663200 Active

Practice location

2900 W Queen Ln
Philadelphia, PA 19129-1033

Call (215) 991-8100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619663200

Barry Derose, MS's National Provider Identifier is 1619663200, issued on Apr 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2023.