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Individual

ANTHONY E. LATAGLIATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
400 BROAD ST, SUITE 2020, SEWICKLEY, PA 15143-1500
(412) 741-4610
(412) 741-8967
Mailing address
400 BROAD ST, SUITE 2020, SEWICKLEY, PA 15143-1500
(412) 741-4610
(412) 741-8967

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001574
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1274206
PA
Enumeration date
07/28/2006
Last updated
07/08/2007
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