Derreza, Hector
Derreza, Hector is an individual health care provider with primary practice located at 101 Page St , New Bedford MA 02740-3464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Derreza, Hector can be contacted via phone (508) 973-5919.Contact Information
Primary practice address
101 Page St
New Bedford MA 02740-3464
Phone: (508) 973-5919
Fax: (508) 973-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 230886 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 230886 | Massachusetts |
Profile Details
| NPI number | 1992795355 |
|---|---|
| LBN Legal business name | Derreza, Hector |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 10th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992795355 | NPPES |
| Massachusetts | MEDICAID | 110077129A |
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