Dr. Derrick Mcqueen
Pediatric Critical Care Doctor
201 Lyons Ave
Newark
, New Jersey 07112-2027
Dr. Derrick Mcqueen
Pediatric Critical Care Doctor
201 Lyons Ave
Newark
, New Jersey 07112-2027
(973) 926-6452
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Derrick Mcqueen
- 201 Lyons Ave
- Newark, NJ
- Zip : 07112
- Fax : (973) 926-6452
- Phone : (973) 926-3568
Second Address
- Dr. Derrick Mcqueen
- 201 Lyons Ave
- Newark, NJ
- Zip : 07112-2027
- Fax : (973) 926-6452
- Phone : (973) 926-3568
Reviews
FAQs
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Is Dr. Derrick Mcqueen a sole practitioner?
Is Dr. Derrick Mcqueen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | MA 62620 | NJ |
National Provider Identifier
| NPI | 1003914748 |
|---|---|
| Provider Name | Dr. Derrick Mcqueen |
| First Address | Newark, NJ 07112 |
| Second Address | Newark, NJ 07112-2027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 035780 | (05) | NJ |
| H11100 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.