Individual
ROBERT T. DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 MONROE ST, SUITE 202, SYLVANIA, OH 43560-2767
(419) 473-6622
(419) 473-6627
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1964
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35056097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00996
PARAMOUNT
OH
01
—
07-01542
UHC
OH
05
—
0786841
—
OH
01
—
160041509
RRMC
OH
01
—
2083365
AETNA
OH
01
—
ANTHEM
000000141262
OH
Enumeration date
07/15/2005
Last updated
11/03/2023
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