DR. Alicia Derusso St. Thomas, MD is a student in an organized health care education training program in Falls Church, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Alicia Derusso St. Thomas, MD NPI is 1982220190. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
OBGYN ADMIN SUITE 2ND FLOOR SOUTH TOWER
3300 GALLOWS RD
FALLS CHURCH, VA
ZIP 22042
Phone: (860) 227-5495
The enumeration date for this NPI number is 6/23/2020 and was last updated on 6/23/2020.