| NPI | 1376193474 |
|---|---|
| Other Name | MARK A LATINA MD LLC WINPHO |
| Entity Type | Organization |
| Authorized Contact | MARK LATINA Owner 781-942-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |