Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IAN A LAROSE, PCNS
ActiveMR. IAN A LAROSE, PCNS is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in EAST BOSTON, Massachusetts. NPI 1336175066 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · EAST BOSTON, MA
Registration Details
- NPI Number
- 1336175066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2006 (20.186474240201 yrs)
- Last Updated
- Apr 15, 2015
- License
-
254990 (MA)
Practice Information
- Address
-
10 GOVE STEAST BOSTON, MA, 021281920Browse MA providers · Browse ZIP 02128
- Phone
- 6175695800
- Fax
- 6175684780
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.