John K Derderian, DO Valid NPI

Individual provider · Internal Medicine Physician · Lancaster, PA

NPI

1477595445

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

OS011857 (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-12

Last updated

2025-11-01