Individual
DR. STEPHEN GEORGE DEROSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
345 MAIN ST, MADISON, NJ 07940-2339
(973) 377-6700
Mailing address
19 LATHROP AVE FL 2, MADISON, NJ 07940-2412
(973) 303-9322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00768400
NJ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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