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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

NPI Number 1508839291
LBN Legal business name MARK A. LATINA
Authorized official MARK LATINA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2006
Last updated 12/02/2010 - About 16 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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