Individual
DR. JUSTIN DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
(267) 273-1196
Mailing address
42 E LAUREL RD STE 3100, STRATFORD, NJ 08084-1354
(856) 566-2753
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS020719
PA
Other
Enumeration date
06/09/2016
Last updated
06/22/2025
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