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1083935084
IVY DEROSA
NEWTOWN, PA
NPI
1083935084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA OS015851)
Enumeration Date
2010-06-14
Last Update Date
2019-07-19
Business Address
IVY DEROSA D.O.
104 PHEASANT RUN SUITE 123
NEWTOWN, PA 18940-3439
Phone number: 215-702-8600
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Mailing Address
IVY DEROSA D.O.
104 PHEASANT RUN STE 123
NEWTOWN, PA 18940-3413
Phone number: 215-702-8600
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