Active NPIIndividual providerSole proprietor

Dr. Diana R Larrea, DO

Family Medicine in Stratford, New Jersey

NPI Number1225460454
Practice location
42 E Laurel RD, Suite 2100A, Stratford, NJ 08084-1354
Fax
—
Last updated
March 18, 2020

Diana Rose Larrea is a Family Medicine based in Stratford, NJ. Diana Rose Larrea practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Diana Rose Larrea is 1225460454 and holds a License No. 25MB09743200 (NJ). The current practice location address for Diana Rose Larrea is 42 E Laurel RD, Suite 2100A, Stratford, NJ 08084-1354 and can be reached out via phone at 856-566-6477.

Provider Profile Details

NPI Number
1225460454
Provider Name
Diana Rose Larrea
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
42 E Laurel RD, Suite 2100A, Stratford, NJ 08084-1354
Phone Number
856-566-6477
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2013
Last Update Date
March 18, 2020
Certification Date
March 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 E Laurel RD
Suite 2100A
Stratford, NJ 08084-1354
Zip
08084-1354
Phone Number
856-566-6477
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
116 Wright Ave
Apt. L97
Stratford, NJ 08084-1100
City
Stratford
State
NJ
Zip
08084-1100
Phone Number
740-856-2214

License Information

License Number
25MB09743200
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diana R Larrea, DO?

The NPI number of Dr. Diana R Larrea, DO is 1225460454. It was assigned on July 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Diana R Larrea, DO?

Dr. Diana R Larrea, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09743200.

Where does Dr. Diana R Larrea, DO practice?

The practice location is 42 E Laurel RD, Suite 2100A, Stratford, NJ 08084-1354. The office can be reached at 856-566-6477 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225460454 directly on the NPPES registry website.

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