NPI 1275524662

Michael a Derosa, MD

Practitioner Ophthalmology Physician Snellville, GA

Practice location

Address: 2347 Lenora Church Rd, Snellville, GA 30078-3232
Phone: (770) 979-2020
Fax: (770) 978-3321

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 033954 (GA)

Other Ophthalmology providers in Georgia →

Registry record

NPI: 1275524662
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2005
Record last updated: 23 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.