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Individual

DR. ANTHONY LAROCCO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 KEMPSVILLE RD, STE 100F, NORFOLK, VA 23502-3920
(757) 261-5910
(757) 466-8317
Mailing address
301 RIVERVIEW AVE, STE 710, NORFOLK, VA 23510-1065
(757) 252-9040
(757) 252-9041

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101047422
VA
207RI0200X
Infectious Disease Physician
Primary
0101047422
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-032
TRICARE/CHAMPUS
VA
05
005852242
VA
01
06339
NC BC/BS
NC
01
38409
SENTARA
VA
01
391454
UHC/MAMSI
01
434034
ANTHEM
VA
05
8906339
NC
01
PAR
AETNA
VA
Enumeration date
02/22/2006
Last updated
01/18/2017
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