Individual
DR. JOHN L ROUSSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.PC
Contact information
Practice address
537 STANTON CHRISTIANA RD, NEWARK, DE 19713-2146
(302) 633-7550
(302) 633-7556
Mailing address
537 STANTON CHRISTIANA RD, NEWARK, DE 19713-2146
(302) 633-7550
(302) 633-7556
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD426938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127068100
—
WY
01
—
W21591
PTAN
WY
Enumeration date
04/09/2007
Last updated
06/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us