Individual
JANET E. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S. 11TH STREET, PHILADELPHIA, PA 19107-4824
(215) 955-6000
(302) 651-4945
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
237711
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD433988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02727448
—
NY
01
—
1015V1
EMPIRE B/C B/S
NY
01
—
4352206
AETNA
NY
Enumeration date
06/07/2006
Last updated
10/17/2017
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