Organization
DR. CHRISTOPHER M LAROSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M LAROSA DPM (PRESIDENT)
(856) 435-4002
Entity
Organization
Contact information
Practice address
146 LAKEVIEW DR S, SUITE 101, GIBBSBORO, NJ 08026-1018
(856) 435-4002
(856) 435-4070
Mailing address
146 LAKEVIEW DR S, SUITE 101, GIBBSBORO, NJ 08026-1018
(856) 435-4002
(856) 435-4070
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD002471
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829704000
AMERIHEALTH
NJ
01
—
480031440
RAILDROAD MEDICARE
NJ
05
—
7829108
—
NJ
Enumeration date
03/19/2007
Last updated
03/11/2010
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