Individual
DR. JOHN JOSEPH DELLA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 WELLES ST, STE 114, FORTY FORT, PA 18704-4969
(570) 331-2655
(570) 331-2671
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD030692E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0945585
—
PA
Enumeration date
06/27/2005
Last updated
06/10/2020
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