Individual
DR. LARRY ALLEN LATSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5442
Mailing address
9 WILTON TER, VERONA, NJ 07044-2534
(973) 433-7637
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA 09265300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
264731
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2011
Last updated
07/30/2024
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