Individual
IGOR LATICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 688-2259
(203) 688-5599
Mailing address
111 ARDMORE RD, WEST HARTFORD, CT 06119-1203
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
051089
CT
Other
Enumeration date
01/30/2008
Last updated
06/17/2013
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