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NPI Code Detail

MEDICARE: DR. CHRISTOPHER M LAROSA DPM

MEDICARE: DR. CHRISTOPHER M LAROSA DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist25MD00247400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10742192000OTHERNJAMERIHEALTH

General Provider Information

NPI Number : 1457380180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER M LAROSA DPM
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 410
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number : 609-267-9400
Fax Number : 609-927-1616
Provider Business Practice Location Address
First Line : 547 NEW RD
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2038
Country : US
Telephone Number : 609-267-9400
Fax Number : 609-927-1616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 01/15/2026

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