Derosa, Ivy
Derosa, Ivy is an individual health care provider with primary practice located at 104 Pheasant Run Suite 123, Newtown PA 18940-3439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Derosa, Ivy can be contacted via phone (215) 702-8600.Contact Information
Primary practice address
104 Pheasant Run Suite 123
Newtown PA 18940-3439
Phone: (215) 702-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS015851 | Pennsylvania |
Profile Details
| NPI number | 1083935084 |
|---|---|
| LBN Legal business name | Derosa, Ivy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2010 |
| Last updated | Jul 19th, 2019 - about 5 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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