LATICCO R ROBINSON

BOSTON, MA
NPI1093143026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA4874)
Enumeration Date2013-10-30
Last Update Date2015-03-04
Business Address
-- LATICCO R ROBINSON PA-C
725 ALBANY STREET SHAPIRO LOWER LEVEL
BOSTON, MA 02118
Phone number: 617-638-6287
Mailing Address
-- LATICCO R ROBINSON PA-C
720 HARRISON AVE DOB 503
BOSTON, MA 02118-2371
Phone number: