Dr GREGORY L DERUSSO MD is a male medical professional, specializing in Internal Medicine. He graduated in 1990 from Hahnemann University College Of Medicine.
7505 BUSTLETON AVE
PHILADELPHIA
PA
191524136
Tel:
| Npi | 1316959141 |
| Pac Id | 9537100490 |
| Professional Enrollment Id | I20050520000417 |
| Last Name | DERUSSO |
| First Name | GREGORY |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 7505 BUSTLETON AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 191524136 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390204 |
| Hospital Affiliation Lbn 1 | NAZARETH HOSPITAL |
| Hospital Affiliation Ccn 2 | 390115 |
| Hospital Affiliation Lbn 2 | ARIA HEALTH |
| Hospital Affiliation Ccn 3 | 390142 |
| Hospital Affiliation Lbn 3 | ALBERT EINSTEIN MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 390080 |
| Hospital Affiliation Lbn 4 | JEANES HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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