Individual
DR. PETER ANTHONY DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVENUE, NW, THE GW MEDICAL FACULTY ASSOCIATES, WASHINGTON, DC, DC 20037
(202) 741-3000
(202) 741-2185
Mailing address
2150 PENNSYLVANIA AVENUE, NW, THE GW MEDICAL FACULTY ASSOCIATES, WASHINGTON, DC 20037
(202) 741-3000
(202) 741-2185
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD210011850
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD210011850
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
07/08/2011
Last updated
06/21/2023
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