Organization
ADVANCED GLAUCOMA SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY LATINA M.D. (OWNER)
(781) 942-9876
Entity
Organization
Contact information
Practice address
20 PONDMEADOW DR, SUITE 203, READING, MA 01867-3218
(781) 942-9876
(781) 942-9877
Mailing address
20 PONDMEADOW DR, SUITE 203, READING, MA 01867-3218
(781) 942-9876
(781) 942-9877
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977865
—
MA
Enumeration date
12/17/2009
Last updated
12/17/2009
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