Individual
DR. RICHARD F LATUSKA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-4319
(215) 590-3948
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-4319
(215) 590-3948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57270
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
57270
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MT217300
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037552
—
TN
Enumeration date
05/19/2015
Last updated
06/25/2019
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