Individual
DR. WALEAD LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 MORRIS AVE, SUITE W112, UNION, NJ 07083-5745
(908) 686-0123
Mailing address
40 VALLEY STREAM PKWY, #100, MALVERN, PA 19355-1407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229086
NY
207RN0300X
Nephrology Physician
Primary
25MB08675400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216097
—
NJ
Enumeration date
06/13/2006
Last updated
02/19/2016
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