Dr. Christopher C Derivaux, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Haddonfield, NJ. Individual provider (NPI-1).
NPI number1790733004
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1790733004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christopher C Derivaux
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA07417400 | NJ | Yes |
| 208600000X | Surgery | 25MA07417400 | NJ |
Practice location
422 Washington AveHaddonfield, NJ 08033-3339
Phone 856-466-6674
Mailing address
422 Washington AveHaddonfield, NJ 08033-3339
Other practice locations
698 Mullica Hill Rd Ste 300
Mullica Hill, NJ 08062-4453
Mullica Hill, NJ 08062-4453
Phone 856-508-3845 · Fax 856-221-4107
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