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Contact Information

MARK A. LATINA
20 PONDMEADOW DRIVE
SUITE 203
READING, MA01867
 Phone: 781-942-9876
 Fax: 781-942-9877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK A LATINA · (Female)

NPI Number 1508839291
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2006
Last updated 12/02/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 48630
  • MA Medicaid 9777865
  • MA Medicaid 977865
  • Other 8488 FALLON
  • MA Other M16360 BC/BS GROUP NUMBER
  • MA Other 607152 TUFTS HEALTH PLAN GROUP N
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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