Provider Demographics
NPI:1497970453
Name:DELROSSI, JOHN A (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:DELROSSI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:822 PINE ST
Mailing Address - Street 2:STE LL1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6187
Mailing Address - Country:US
Mailing Address - Phone:215-238-9100
Mailing Address - Fax:215-238-9103
Practice Address - Street 1:170 INDEPENDENCE SQ W
Practice Address - Street 2:SUITE LL30
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-238-9100
Practice Address - Fax:215-238-9103
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2016-01-08
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Provider Licenses
StateLicense IDTaxonomies
PAMA002908L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical