Individual
DR. DIANA ROSE LARREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
42 E LAUREL RD, SUITE 2100A, STRATFORD, NJ 08084-1354
(856) 566-6477
Mailing address
116 WRIGHT AVE, APT. L97, STRATFORD, NJ 08084-1100
(740) 856-2214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09743200
NJ
Other
Enumeration date
07/30/2013
Last updated
03/18/2020
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