Individual
DR. JULIE K DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2311 COTTMAN AVE STE 71, PHILADELPHIA, PA 19149-1007
(215) 444-7505
(215) 695-2919
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD051117L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015888700004
—
PA
Enumeration date
05/05/2006
Last updated
02/05/2025
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