| NPI | 1619413069 |
|---|---|
| Other Name | MARK A LATINA SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY LATINA Owner 781-942-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |