Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VINCENT DERISIO, DO
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · STRATFORD, NJ
Registration Details
- NPI Number
- 1427538701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2018 (7.6832745197495 yrs)
- Last Updated
- Aug 16, 2018
- License
-
25MB05189300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42 E LAUREL RDSTRATFORD, NJ, 080841354Browse NJ providers · Browse ZIP 08084
- Phone
- 5133006910
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in STRATFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| LUNA LI | MD, PHD | 1780173633 |
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.