DR. CHRISTOPHER C DERIVAUX

Address: 1935 Route 70 E, Cherry Hill, NJ 08003-2117
Phone: 8564287700

DR. CHRISTOPHER C DERIVAUX (NPI# 1790733004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790733004
Entity Type Individual
Full Name DR. CHRISTOPHER C DERIVAUX
Credential M.D.
Practice Address 1935 Route 70 E
Cherry Hill
NJ 08003-2117
Mailing Address 1 Federal St
Ste Sw200
Camden
NJ 08103-1155
Practice Telephone 8564287700
Practice Fax Number 8564249120
Mailing Telephone 8564287700
Mailing Fax Number 8564249120
Enumeration Date 2006-05-05
Last Update Date 2019-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 25MA07417400 NJ Allopathic & Osteopathic Physicians
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 25MA07417400 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8884005 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Brace Rd Ste H, Cherry Hill, NJ 080342600 8564287700
570 Egg Harbor Rd Ste B1, Sewell, NJ 080802359 8564287700

Office Location

Street Address 1935 ROUTE 70 E
City CHERRY HILL
State NJ
Zip Code 08003-2117

Providers in the same location

NPI Name Address
1619926946 SURGICAL GROUP OF SOUTH JERSEY, P.A. 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1720300478 PATRICIA ANN KOPER 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1609024447 MICHAEL D LIEB 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1598944076 EMEKA JOSEPH ACHOLONU 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1184811945 VIRTUA SURGICAL GROUP, P.A 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1285834655 YURY BAK 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1124244637 KHALED IQBAL EL-BADAWI 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1346299401 DIOSCORO T VILLANUEVA 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1356390413 WILLIAM C. CODY 1935 Route 70 E, Cherry Hill, NJ 08003-2117
1992754063 CONSTANTINE T. ANDREW 1935 Route 70 E, Cherry Hill, NJ 08003-2117

Competitor

Search similar providers

City CHERRY HILL
Zip Code 08003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.