Individual
CECILIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
148 CHESTNUT ST, JOSLIN CLINIC, NEEDHAM, MA 02492-2505
(781) 453-5231
(781) 453-3654
Mailing address
105 OVERBROOK DR, WELLESLEY, MA 02482-1044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76286
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
76286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76286
MEDICAL LICENSE
MA
Enumeration date
10/06/2006
Last updated
12/16/2011
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