Individual
DR. RAFFAELLA DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-5001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT, FORT BRAGG, NC 28310-5001
(910) 907-8236
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
16588
HI
208800000X
Urology Physician
Primary
306408
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD000
—
HI
Enumeration date
06/09/2011
Last updated
04/13/2026
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