; NPI #1750015640

Contact Information

ITAY TOKATLY LATZER, MD

300 LONGWOOD AVE
BOSTON, MA 02115-5724

Phone: 617-735-6000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for

NPI # 1750015640

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 07/15/2022

Last updated 08/03/2022 - About 4 years ago

Identifiers

MA	License #	292352
MA	Other	MTN961241126	BLUE CROSS BLUE SHIELD (BCBS)

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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Contact Information

Specialty

Children

NPI Profile & details for

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