Individual
MR. FREDERICK JORDAN LARGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
109 ROUTE 46, DENVILLE, NJ 07834-2776
(973) 625-0744
(973) 625-0741
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00723700
NJ
Other
Enumeration date
05/15/2007
Last updated
11/04/2016
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