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1942325915
LIBERATUS ANTHONY DEROSA
ROCKVILLE, MD
NPI
1942325915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D39147)
Enumeration Date
2007-03-20
Last Update Date
2007-07-09
Business Address
-- LIBERATUS ANTHONY DEROSA M.D.
2101 E JEFFERSON ST
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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Mailing Address
-- LIBERATUS ANTHONY DEROSA M.D.
546 HEAVITREE LN
SEVERNA PARK, MD 21146-1023
Phone number: 443-623-2148
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