Ivy Derosa, D.O.

NPI #1083935084 in Newtown, Pennsylvania

Provider Information

NPI Number: 1083935084
Entity Type: Individual
Name: Ivy Derosa, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: D.O.
Enumeration Date: Jun 14, 2010
Last Updated: Jul 19, 2019

Practice Location

Address: 104 PHEASANT RUN
Address 2: SUITE 123
City: Newtown
State: Pennsylvania
ZIP Code: 18940-3439
Phone: (215) 702-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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