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NPI Code Detail

MEDICARE: CECILIA ALEJANDRA LAROCCA

MEDICARE: CECILIA ALEJANDRA LAROCCA
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
1207N00000XDermatology Physician265984MA

General Provider Information

NPI Number : 1558688820
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA ALEJANDRA LAROCCA
Provider Business Mailing Address
First Line : 218 N CHARLES ST
Second Line : APT. 1511
City : BALTIMORE
State : MD
Zip : 21201-4021
Country : US
Telephone Number : 646-483-8936
Fax Number :
Provider Business Practice Location Address
First Line : 218 N CHARLES ST
Second Line : APT. 1511
City : BALTIMORE
State : MD
Zip : 21201-4021
Country : US
Telephone Number : 646-483-8936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2010
Last Update Date : 03/27/2018

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Directions to “ CECILIA ALEJANDRA LAROCCA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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