Individual
DR. EDWARD A LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 PORTLAND PL, MONTCLAIR, NJ 07042-2822
(973) 744-1880
(973) 746-9575
Mailing address
24 PORTLAND PL, MONTCLAIR, NJ 07042-2822
(973) 744-1880
(973) 746-9575
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA54004
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0601356-639734Z
OXFORD
NJ
Enumeration date
10/04/2006
Last updated
07/08/2007
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