MR. Philip Thomas De Rosa, PA-C

NPI #1194236620 in Marietta, Georgia

Provider Information

NPI Number: 1194236620
Entity Type: Individual
Name: MR. Philip Thomas De Rosa, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 24, 2017
Last Updated: Jan 26, 2021

Practice Location

Address: 61 WHITCHER ST NE STE 4120
City: Marietta
State: Georgia
ZIP Code: 30060-1179
Phone: (770) 424-9732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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