Search › New Jersey › 207ND0101X
Jennifer Larusso, D.O
NPI 1932360906 · on the registry since 2008
Practice
- Address
- 771 E Route 70
Suite D150
Marlton, NJ 08053 - Phone
- (856) 569-3393
- Fax
- (856) 596-3394
- Organisation at this address
- Aesthetic Dermatology, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207N00000X
207ND0101X - Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey