Individual
LATEEF SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 THOMAS ST, NEWARK, NJ 07114-1976
(973) 424-3007
Mailing address
5 THOMAS ST, NEWARK, NJ 07114-1976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
261286
NY
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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