Deraska, Donald John

Deraska, Donald John is an individual health care provider with primary practice located at 92 Montvale Ave Ste 3675 , Stoneham MA 02180-3625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Deraska, Donald John can be contacted via phone (781) 438-1800.

Contact Information

Primary practice address
92 Montvale Ave Ste 3675 Stoneham MA 02180-3625
Phone: (781) 438-1800
Fax: (781) 438-1822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 73990 Massachusetts
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 73990 Massachusetts

Profile Details

NPI number 1841280047
LBN Legal business name Deraska, Donald John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841280047 NPPES
Massachusetts Other 724164 TUFTS HEALTH PLAN
Massachusetts Other J13217 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3098311 TUFTS HEALTH PLAN

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