Provider Demographics
NPI:1639243025
Name:DROP, DEBORAH BROSS (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:BROSS
Last Name:DROP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 WOODVIEW ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390
Mailing Address - Country:US
Mailing Address - Phone:610-869-4700
Mailing Address - Fax:610-869-4790
Practice Address - Street 1:455 WOODVIEW ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390
Practice Address - Country:US
Practice Address - Phone:610-869-4700
Practice Address - Fax:610-869-4790
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10006672208000000X
PAMD431843208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000015857Medicaid
DE000015857Medicaid