Individual
STEPHEN LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
WESTBORO STATE HOSPITAL, 288 LYMAN ST, WESTBORO, MA 01581-0288
(508) 616-2339
Mailing address
WESTBORO STATE HOSPITAL, 288 LYMAN ST, WESTBORO, MA 01581-0288
(508) 616-2339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
864
MA
Other
Enumeration date
07/21/2006
Last updated
07/18/2007
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