Healthcare Provider Details

I. General information

NPI: 1871704627
Provider Name (Legal Business Name): DAVID F LAROSA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CHESTNUT ST FL 17
PHILADELPHIA PA
19107-3612
US

IV. Provider business mailing address

1101 CHESTNUT ST FL 17
PHILADELPHIA PA
19107-3612
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-7410
  • Fax: 215-923-8230
Mailing address:
  • Phone: 215-955-7410
  • Fax: 215-923-9230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD421039
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number25MA09085000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: