Dr UMBERTO A DERIENZO MD is a male medical professional, specializing in Family Medicine. He graduated in 1992 from Temple University School Of Medicine.
PRIMARY CARE GROUP 12, INC.,
17 ARENTZEN BLVD
SUITE 101
CHARLEROI
PA
150221085
Tel: 7244833581
| Npi | 1427021674 |
| Pac Id | 7719875046 |
| Professional Enrollment Id | I20040309000244 |
| Last Name | DERIENZO |
| First Name | UMBERTO |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PRIMARY CARE GROUP 12, INC., |
| Group Practice Pac Id | 5496936858 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 17 ARENTZEN BLVD |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | CHARLEROI |
| State | PA |
| Zip Code | 150221085 |
| Phone Number | 7244833581 |
| Hospital Affiliation Ccn 1 | 390147 |
| Hospital Affiliation Lbn 1 | MONONGAHELA VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | 390265 |
| Hospital Affiliation Lbn 2 | JEFFERSON HOSPITAL |
| Hospital Affiliation Ccn 3 | 390042 |
| Hospital Affiliation Lbn 3 | WASHINGTON HOSPITAL, THE |
| 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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