Individual
LIBERATUS ANTHONY DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Mailing address
546 HEAVITREE LN, SEVERNA PARK, MD 21146-1023
(443) 623-2148
(410) 987-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D39147
MD
Other
Enumeration date
03/20/2007
Last updated
07/09/2007
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