Individual
BRIAN G LAROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(703) 359-7878
(302) 224-2848
Mailing address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C10007463
DE
207P00000X
Emergency Medicine Physician
Primary
D0063337
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10000035055
—
DE
05
—
408075100
—
MD
05
—
413046400
—
MD
Enumeration date
01/03/2006
Last updated
12/14/2021
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