Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101047422 | VA |
N | 111NI0900X | Internist | 0101047422 | VA |
Y | 207RI0200X | Infectious Disease | 0101047422 | VA |
NPI | 1023083094 |
---|---|
Provider Name | Dr. Anthony Larocco JR. |
First Address | Norfolk, VA 23510-1065 |
Second Address | Norfolk, VA 23502-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 18/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005852242 | (05) | VA |
-032 | TRICARE/CHAMPUS (01) | VA |
06339 | NC BC/BS (01) | NC |
38409 | SENTARA (01) | VA |
391454 | UHC/MAMSI (01) | |
434034 | ANTHEM (01) | VA |
8906339 | (05) | NC |
F46021 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |