Individual
MR. EMMANUEL FEQUIERE LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 NORMAN RD, NEWARK, NJ 07106-3309
(973) 388-1304
Mailing address
173 NORMAN RD, NEWARK, NJ 07106-3309
(973) 388-1304
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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