Individual
DR. ANTHONY L DEROSS
Active
Individual
DR. ANTHONY L DEROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
229244
MA
2086S0120X
Pediatric Surgery Physician
Primary
35-095425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025751090001
—
PA
05
—
2122634
—
MA
05
—
3051852
—
OH
Enumeration date
05/12/2006
Last updated
05/25/2011
Update your record
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