| Dr. Christopher M Larosa Llc | |
|
146 Lakeview Dr S, Suite 101, Gibbsboro, NJ 08026-1018 | |
| (856) 435-4002 | |
| (856) 435-4070 |
| Full Name | Dr. Christopher M Larosa Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 146 Lakeview Dr S, Gibbsboro, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235253600 | NPI | - | NPPES |
| 480031440 | Other | NJ | RAILDROAD MEDICARE |
| 0829704000 | Other | NJ | AMERIHEALTH |
| 7829108 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | MD002471 (New Jersey) | Primary |
| Provider Name | Christopher M Larosa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457380180 PECOS PAC ID: 8224012158 Enrollment ID: I20040617000023 |
| Provider Name | Kyle Shaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710410899 PECOS PAC ID: 0446674683 Enrollment ID: I20200722000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Christopher M Larosa Llc 146 Lakeview Dr S, Suite 101, Gibbsboro, NJ 08026-1018 Ph: (856) 435-4002 | Dr. Christopher M Larosa Llc 146 Lakeview Dr S, Suite 101, Gibbsboro, NJ 08026-1018 Ph: (856) 435-4002 |
Dr. Evan H Gross, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 146 Lakeview Dr S, Gibbsboro, NJ 08026 Phone: 856-435-4002 | |
Dr. Christopher M Larosa, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 146 Lakeview Dr S Ste 301, Gibbsboro, NJ 08026 Phone: 856-435-4002 Fax: 856-435-4070 |