Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EMMANUEL FEQUIERE LAROSE
Active Sole ProprietorPoint of Service · NEWARK, NJ
Registration Details
- NPI Number
- 1851922579
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2020 (6.2212898567017 yrs)
- Last Updated
- Jan 31, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
173 NORMAN RDNEWARK, NJ, 071063309Browse NJ providers · Browse ZIP 07106
- Phone
- 9733881304
- Primary Specialty
-
Point of Service
305S00000X
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.