Individual
ROSEMARY DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, 10 FOUNDERS, PHILADELPHIA, PA 19104-4238
(215) 615-4949
Mailing address
3400 SPRUCE ST, 10 FOUNDERS, PHILADELPHIA, PA 19104-4238
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052736
PA
Other
Enumeration date
10/18/2006
Last updated
07/15/2014
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