Individual
DR. MARC R LAROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 6B, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
252655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094367A
—
MA
Enumeration date
06/19/2009
Last updated
05/15/2019
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