Individual
DR. DONALD ADAM DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
29 PETERS PL, RED BANK, NJ 07701-1705
(732) 747-7117
(732) 741-7679
Mailing address
29 PETERS PL, RED BANK, NJ 07701-1705
(732) 747-7117
(732) 741-7679
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22D100948400
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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