Individual
JERILYN MARIE LATINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 VFW PKWY, MAIL CODE WX-112, WEST ROXBURY, MA 02132-4927
(857) 203-6551
(857) 203-6660
Mailing address
1400 VFW PKWY, MAIL CODE WX-112, WEST ROXBURY, MA 02132-4927
(857) 203-6551
(857) 203-6660
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7321
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577485
—
AK
Enumeration date
09/28/2006
Last updated
02/03/2016
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