Vincent Derisio, DO is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Stratford, New Jersey. Vincent Derisio is licensed to practice in New Jersey (license number 25MB05189300) and his current practice location is 42 E Laurel Rd, Stratford, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(513) 300-6910.
NPI number for Vincent Derisio is 1427538701 and his current mailing address is Po Box 612, Stratford, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427538701.
Physician's Profile
Full Name | Vincent Derisio |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 42 E Laurel Rd, Stratford, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427538701
- Provider Enumeration Date: 08/16/2018
- Last Update Date: 08/16/2018
Medical Identifiers
Medical identifiers for Vincent Derisio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427538701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MB05189300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vincent Derisio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vincent Derisio, DO Po Box 612, Stratford, NJ 08084-0612 Ph: (513) 300-6910 | Vincent Derisio, DO 42 E Laurel Rd, Stratford, NJ 08084-1354 Ph: (513) 300-6910 |
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