Larossa, John T

Larossa, John T is an individual health care provider with primary practice located at 2000 Washington St Suite 100, Newton MA 02462-1650. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Larossa, John T can be contacted via phone (617) 244-1311.

Contact Information

Primary practice address
2000 Washington St Suite 100 Newton MA 02462-1650
Fax: (617) 244-2819
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36773 Massachusetts

Profile Details

NPI number 1346217155
LBN Legal business name Larossa, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346217155 NPPES
Massachusetts MEDICAID 2051524
Massachusetts Other B33459
Massachusetts Other 60453
Massachusetts Other 701905
Massachusetts Other 3300175
Massachusetts Other B10018001

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