Individual
JESSICA LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D87493
MD
207LP3000X
Pediatric Anesthesiology Physician
D87493
MD
208000000X
Pediatrics Physician
286487-1
NY
Other
Enumeration date
04/07/2015
Last updated
03/20/2024
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