Whalio Doctors

NPI 1003914748

Derrick McQueen, MD

Practitioner Pediatric Critical Care Medicine Physician Newark, NJ

Practice location

Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone
(973) 926-3568
Fax
(973) 926-6452
Mailing address
201 Lyons Ave, Newark, NJ 07112

Registered specialties

Pediatric Critical Care Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0203X Licence MA 62620 (NJ)

Registry record

NPI
1003914748
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.