Ralph Lawrence Derstine, M.D.
Family Medicine in Harleysville, PA. Individual provider (NPI-1).
NPI number1265680938
StatusActive
Last updated in NPPESSep 5, 2008
Details
- NPI
- 1265680938
- Entity type
- Individual (NPI-1)
- Name
- Ralph Lawrence Derstine
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2008
- Last updated
- Sep 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD008043E | PA | Yes |
Practice location
488 Harleysville PikeHarleysville, PA 19438
Phone 215-256-9445 · Fax 215-256-4857
Mailing address
488 Harleysville PikeHarleysville, PA 19438
Phone 215-256-9445 · Fax 215-256-4857
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