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Mr. Emmanuel Fequiere Larose
Point of Service in Newark, New Jersey
NPI 1851922579

Emmanuel Fequiere Larose is a Point of Service based in Newark, NJ. Emmanuel Fequiere Larose practices in Newark, NJ. The NPI Number for Emmanuel Fequiere Larose is 1851922579 and holds a License No. (New Jersey).

The current practice location address for Emmanuel Fequiere Larose is 173 Norman Rd, Newark, NJ and can be reached out via phone at 973-388-1304.

Location: 173 Norman Rd, Newark, NJ, 07106-3309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851922579
Provider Name
Emmanuel Fequiere Larose
Credential
Provider Entity Type
Individual
Gender
Male
Address
173 Norman Rd, Newark, NJ, 07106-3309
Phone Number
973-388-1304
Fax Number
Provider Enumeration Date
01/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
173 Norman Rd
City
Newark
State
New Jersey
Zip
07106-3309
Phone Number
973-388-1304
Fax Number
person
Provider Business Mailing Address Details
Address
173 Norman Rd
City
Newark
State
New Jersey
Zip
07106-3309
Phone Number
973-388-1304
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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