Individual
DR. CHARLOTTE A LAROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL GERIATRIC PSYCHIATRY, HARTFORD, CT 06106
(860) 545-7189
Mailing address
HARTFORD HOSPITAL PROFESSIONAL SERVICES, PO BOX 40,000 DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021688
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216886
—
CT
Enumeration date
10/03/2006
Last updated
04/29/2009
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