DR. Stephen George Derosa JR., DC, ATC

NPI #1174153795 in Madison, New Jersey

Provider Information

NPI Number: 1174153795
Entity Type: Individual
Name: DR. Stephen George Derosa JR., DC, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC, ATC
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 345 MAIN ST
City: Madison
State: New Jersey
ZIP Code: 07940-2339
Phone: (973) 377-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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