Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000447 | CT |
NPI | 1023318672 |
---|---|
Provider Name | Dr. Frank C Larosa |
First Address | Milford, CT 06460-3381 |
Second Address | Milford, CT 06460-3381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2010 |
Last Update Date | 22/01/2014 |