DEREK A ANDELLOUX

NANTUCKET PHYSICIANS ORGANIZATION

Dr DEREK A ANDELLOUX is a male medical professional, specializing in Family Medicine. He graduated in 2009.

Contact

NANTUCKET PHYSICIANS ORGANIZATION

57 PROSPECT ST
NANTUCKET
MA
025542799

Tel: 5088258103

DEREK A ANDELLOUX Information

Npi 1013145275
Pac Id 0244488823
Professional Enrollment Id I20180418001055
Last Name ANDELLOUX
First Name DEREK
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NANTUCKET PHYSICIANS ORGANIZATION
Group Practice Pac Id 6608065438
Number Of Group Practice Members 15
Line 1 Street Address 57 PROSPECT ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NANTUCKET
State MA
Zip Code 025542799
Phone Number 5088258103
Hospital Affiliation Ccn 1 220177
Hospital Affiliation Lbn 1 NANTUCKET COTTAGE HOSPITAL
Hospital Affiliation Ccn 2 220012
Hospital Affiliation Lbn 2 CAPE COD HEALTHCARE
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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