Organization
BUCKS COUNTY DERMAESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY DEROSA DO (OWNER)
(415) 802-1310
Entity
Organization
Contact information
Practice address
1717 NEWTOWN LANGHORNE RD, SUITE 201, LANGHORNE, PA 19047-1091
(415) 802-1310
Mailing address
1717 NEWTOWN LANGHORNE RD, SUITE 201, LANGHORNE, PA 19047-1091
(415) 802-1310
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
11/18/2020
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