Individual
DR. OFELIA LACSON SARROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03594800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1551254
AETNA HMO#
NJ
01
—
2828931000
AMERIHEALTH#
NJ
01
—
318915
AMERIGROUP#
NJ
01
—
3K4843
HEALTHNET#
NJ
01
—
5709280
AETNA PPO
NJ
01
—
60028637
HORIZON NJ HEALTH#
NJ
01
—
91002261300
AMERICHOICE#
NJ
Enumeration date
11/29/2006
Last updated
05/16/2008
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