Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER LYNN LARUSSO, D.O.
ActiveDR. JENNIFER LYNN LARUSSO, D.O. is a Obesity Medicine healthcare provider located in MARLTON, New Jersey. NPI 1932360906 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · MARLTON, NJ
Registration Details
- NPI Number
- 1932360906
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2008 (18.169647062367 yrs)
- Last Updated
- Jul 14, 2014
- Licenses
-
OS013778 (PA)OS013778 (PA)25MB07507100 (NJ)
Practice Information
- Address
-
771 E ROUTE 70SUITE D150MARLTON, NJ, 080532352Browse NJ providers · Browse ZIP 08053
- Phone
- 8565693393
- Fax
- 8565963394
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Obesity Medicine
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.