Individual
JOSEPH DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E BROAD ST, WESTFIELD, NJ 07090-2190
(908) 232-0899
(908) 232-1728
Mailing address
505 E BROAD ST, WESTFIELD, NJ 07090-2190
(908) 232-0899
(908) 232-1728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA 07201100
NJ
Other
Enumeration date
05/27/2006
Last updated
09/21/2011
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