Derek Protasiewicz
NPI #1285382424 in Randolph, New Jersey
Provider Information
- NPI Number
- 1285382424
- Entity Type
- Individual
- Name
- Derek Protasiewicz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 16, 2022
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 54 ALBERT CT
- City
- Randolph
- State
- New Jersey
- ZIP Code
- 07869-4188
- Phone
- (973) 998-1763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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