Individual
DR. JOHN T LAROSSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, SUITE 100, NEWTON, MA 02462-1650
(617) 244-1311
(617) 244-2819
Mailing address
2000 WASHINGTON ST, SUITE 100, NEWTON, MA 02462-1650
(617) 244-1311
(617) 244-2819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051524
—
MA
01
—
3300175
UNITED
MA
01
—
60453
PILGRIM
MA
01
—
701905
TUFTS
MA
01
—
B10018001
CIGNA
MA
01
—
B33459
BC/BS
MA
Enumeration date
03/01/2006
Last updated
07/08/2007
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