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Individual

MICHAL LATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107
(215) 955-6000
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.070330
IL
2085R0202X
Diagnostic Radiology Physician
060.0004846
VT
2085R0202X
Diagnostic Radiology Physician
25MA12401800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD487537
PA

Other

Enumeration date
06/21/2018
Last updated
02/26/2026
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