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Individual

DOMENIC DEROBERTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-7000
Mailing address
13661 SAMHILL LN, MOUNT AIRY, MD 21771-4578

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA698
FL
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
05/15/2017
Last updated
03/10/2025
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