Donald Adam Derosa in Red Bank - Endodontics

Donald Adam Derosa - NPI 1255456844

Donald Adam Derosa is a Endodontics in Red Bank, New Jersey. Donald Adam Derosa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Donald Adam Derosa is 1255456844. The last update date is 2007-07-08.

Donald Adam Derosa's current location address is 29 Peters Pl, Red Bank, New Jersey. You can contact this provider via phone number 7327477117 and fax number 7327417679. The mailing address for Donald Adam Derosa is 29 Peters Pl, Red Bank, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Adam Derosa
Address 29 Peters Pl, Red Bank, New Jersey
Phone Number 7327477117
Fax Number 7327417679
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1255456844
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 29 Peters Pl
City Red Bank
State New Jersey (NJ)
Post Code 77011705
Phone Number 7327477117
Fax Number 7327417679

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 22D100948400
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Donald Adam Derosa

What is the unique 10-digit identification code issued to Donald Adam Derosa by the Centers for Medicare & Medicaid Services?

The Donald Adam Derosa has been assigned the NPI (National Provider Identifier) 1255456844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Donald Adam Derosa located?

The Donald Adam Derosa is located at 29 Peters Pl, Red Bank, NJ 77011705.

What is the Donald Adam Derosa's specialty and taxonomy code?

The Donald Adam Derosa's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.

On what date did Donald Adam Derosa receive its 1255456844 assignment from the Centers for Medicare & Medicaid Services?

The Donald Adam Derosa was assigned its 1255456844 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Donald Adam Derosa's information last updated?

The Donald Adam Derosa's information was last updated on 2007-07-08.

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