Individual
DR. MARK ANTHONY LATINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PONDMEADOW DR STE 203, READING, MA 01867-3261
(781) 942-9876
(781) 942-9877
Mailing address
20 PONDMEADOW DR STE 203, READING, MA 01867-3261
(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
01
—
048630
TUFTS HEALTH PLAN
MA
05
—
3013341
—
MA
01
—
J04369
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
12/02/2010
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