John R. Larson, P.A. Valid NPI

Individual provider · Surgical Physician Assistant · Neptune, NJ

NPI

1356354666

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

25MP000162 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-15

Last updated

2024-09-30