Donald A. Derolf, MD
Family Medicine in Middletown, RI. Individual provider (NPI-1).
NPI number1528065745
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1528065745
- Entity type
- Individual (NPI-1)
- Name
- Donald A. Derolf
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2005
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD05292 | RI | Yes |
| 207Q00000X | Family Medicine | MD 05292 | RI |
Practice location
321 Vaucluse AveMiddletown, RI 02842-5786
Phone 401-683-8895 · Fax 401-849-5780
Mailing address
321 Vaucluse AveMiddletown, RI 02842-5786
Phone 401-683-8895 · Fax 401-849-5780
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