Individual
DR. JEAN-EDDY LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
11 STEVEN TER, WEST ORANGE, NJ 07052-2913
(973) 243-1954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB09141300
NJ
207R00000X
Internal Medicine Physician
OS015646
PA
Other
Enumeration date
01/25/2009
Last updated
12/05/2012
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