| Derick E. Vergne Md, Pllc | |
|
179 Great Rd Ste 201 Acton MA 01720-5774 | |
| (857) 239-1911 | |
| (617) 544-0937 |
| Full Name | Derick E. Vergne Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 179 Great Rd Ste 201, Acton, Massachusetts |
| Authorized Official Name and Position | Derick Vergne (PROVIDER/OWNER) |
| Authorized Official Contact | 8572391911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derick E. Vergne Md, Pllc 15 Smart Rd Acton MA 01720-2030 Ph: (857) 239-1911 | Derick E. Vergne Md, Pllc 179 Great Rd Ste 201 Acton MA 01720-5774 Ph: (857) 239-1911 |
| NPI Number | 1033847595 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033847595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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