Justin Derosa, D.O

NPI 1841649944 · on the registry since 2016 · sole proprietor

Practice

Address: 1528 Walnut St Ste 950
Philadelphia, PA 19102
Phone: (267) 273-1196
Organisation at this address: Advocare , Llc
Advocare , Llc
Chris Pagnani Md Pc
Providence Living Llc
Stoll Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 82

Registry record

Primary taxonomy: 207RG0100X
207RG0100X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania