Derosa, Anthony John

Derosa, Anthony John is an individual health care provider with primary practice located at 860 Omni Blvd Suite 201, Newport News VA 23606-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Derosa, Anthony John can be contacted via phone (757) 223-5321.

Contact Information

Primary practice address
860 Omni Blvd Suite 201 Newport News VA 23606-4430
Phone: (757) 223-5321
Fax: (757) 223-7271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101056744 Virginia

Profile Details

NPI number 1235134214
LBN Legal business name Derosa, Anthony John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235134214 NPPES
Virgin Islands Other 10057 OPTIMA
Virgin Islands Other 242760 OPTIMA
Virgin Islands Other 890588L OPTIMA
Virgin Islands MEDICAID 6304991 OPTIMA
Virgin Islands Other 180035098 OPTIMA

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