Individual
LEIA WOELKERS DEROSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-7632
(610) 402-7600
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS018108
PA
208000000X
Pediatrics Physician
OT015441
PA
Other
Enumeration date
07/08/2013
Last updated
07/10/2020
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