Individual
DR. HAROLD IVANOVITCH LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HWY 34 S, COLTS NECK, NJ 07722-1902
(732) 866-2284
(732) 866-1116
Mailing address
236 PARKSIDE DR, UNION, NJ 07083-5563
(908) 964-3257
(908) 687-8866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06171300
NJ
207Q00000X
Family Medicine Physician
MA61713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7043007
—
NJ
Enumeration date
08/19/2005
Last updated
07/06/2023
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