Individual
DR. RENEE DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 513-4124
(856) 302-5932
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124
(856) 302-5932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10609100
NJ
207R00000X
Internal Medicine Physician
OT016990
PA
Other
Enumeration date
04/14/2016
Last updated
09/12/2019
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