Individual
TIMOTHY LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 258-3707
(802) 258-3788
Mailing address
PO BOX 1906, MANCHESTER CENTER, VT 05255-1906
(802) 375-9759
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0009710
VT
Other
Enumeration date
10/05/2005
Last updated
02/11/2014
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