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Individual

JEFFREY F LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
68 CUMBERLAND ST, SUTIE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252
Mailing address
68 CUMBERLAND ST, SUTIE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD05050
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7003889
RI
Enumeration date
07/11/2005
Last updated
12/10/2007
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