Individual
PETER G DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 MILLWAY, BARNSTABLE, MA 02630-1102
(508) 362-1363
(508) 362-1363
Mailing address
275 MILLWAY, PO BOX 834, BARNSTABLE, MA 02630-1102
(508) 362-1363
(508) 362-1363
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31245
MA
Other
Enumeration date
10/27/2005
Last updated
12/14/2007
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