| Organization Name: | DR. CHRISTOPHER M LAROSA LLC |
| NPI Number: | 1235253600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER M LAROSA (PRESIDENT) |
| Mailing Address: | 146 Lakeview Dr S Suite 101 Gibbsboro |
| State: | NJ US |
| Postal Code: | 080261018 |
| Phone Number: | 8564354002 |
| Fax Number: | 8564354070 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD002471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |