Marvel Larose, is a 
Foster Care Agency based in Randolph, Massachusetts. Marvel Larose is licensed to practice in * (Not Available) (license number ) and his current practice location is 
217 Chestnut St, Randolph, Massachusetts. He can be reached at his office (for appointments etc.) via phone at 
(857) 991-0110.
NPI number for Marvel Larose is 1407209620 and his current mailing address is 73 Cedar St, Suite 1, Roxbury, Massachusetts. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407209620.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Marvel Larose | 
|---|
| Gender | Male | 
|---|
| Speciality | Foster Care Agency | 
|---|
| Location | 217 Chestnut St, Randolph, Massachusetts | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1407209620
- Provider Enumeration Date: 07/22/2016
- Last Update Date: 06/27/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Marvel Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1407209620 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2292446 (Massachusetts) | Secondary | 
| 253J00000X | Foster Care Agency | (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marvel Larose is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Marvel Larose, 73 Cedar St, Suite 1,
 Roxbury, MA 02119-1428
 Ph: () -
 | Marvel Larose, 217 Chestnut St,
 Randolph, MA 02368-2407
 Ph: (857) 991-0110
 | 
		
		 
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