Individual
DR. JOSEPH ANTHONY LATINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 RESERVOIR AVE, SUITE 302, CRANSTON, RI 02920-6055
(401) 946-2370
(401) 943-1006
Mailing address
1145 RESERVOIR AVE, SUITE 302, CRANSTON, RI 02920-6055
(401) 946-2370
(401) 943-1006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4105
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-00229
UNITED HEALTHCARE
RI
05
—
9000918
—
RI
01
—
918-8
BLUE CROSS AND BLUE SHIEL
RI
Enumeration date
03/09/2007
Last updated
11/29/2010
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