Individual
YEVGENIY LATYSHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
62 RIDGE RD, NORTH ARLINGTON, NJ 07031-6318
(201) 351-0677
Mailing address
62 RIDGE RD, NORTH ARLINGTON, NJ 07031-6318
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA10264000
NJ
Other
Enumeration date
07/29/2010
Last updated
02/28/2020
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