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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAYE DERUSSO, P.A.

Active

GAYE DERUSSO, P.A. is a Surgical Physician Assistant healthcare provider located in BERKELEY, California. NPI 1184658783 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BERKELEY, CA

Registration Details

NPI Number
1184658783
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2006 (20.130605433389 yrs)
Last Updated
Feb 26, 2013
License
PA15294 (CA)

Practice Information

Address
2999 REGENT ST
STE 225
BERKELEY, CA, 947052190
Browse CA providers · Browse ZIP 94705
Phone
5107047760
Fax
5107047765
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in BERKELEY, CA

Name Credential NPI
HELEN O CHODSKY PA-C 1376868497
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.