Doctor Name: | J. ROBERT LARRIEUX |
NPI Number: | 1144203472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 55735 |
Business Practice Address: | 720 Harrison Ave Suite 1105 Boston, MA - 021182371 |
Business Phone Number: | 6174142000 |
Business Fax Number: | 6174145798 |
Mailing Address: | 720 Harrison Ave, Dob 503 BOSTON |
State: | MA |
Postal Code: | 021182371 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 55735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |