Individual
DR. FEDLENE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6646
Mailing address
173 NORMAN RD APT 1, NEWARK, NJ 07106-3309
(973) 336-7535
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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