Derusso, Gaye

Derusso, Gaye is an individual health care provider with primary practice located at 2999 Regent St Ste 225, Berkeley CA 94705-2190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Derusso, Gaye can be contacted via phone (510) 704-7760.

Contact Information

Primary practice address
2999 Regent St Ste 225 Berkeley CA 94705-2190
Phone: (510) 704-7760
Fax: (510) 704-7765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA15294 California

Profile Details

NPI number 1184658783
LBN Legal business name Derusso, Gaye
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 26th, 2013 - about 12 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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