Latzer, Itay Tokatly

Latzer, Itay Tokatly is an sole proprietor health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Hospitals / Children, which is considered as his primary health care specialty. Latzer, Itay Tokatly can be contacted via phone (617) 735-6000.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 292352 Massachusetts

Profile Details

NPI number 1750015640
LBN Legal business name Latzer, Itay Tokatly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2022
Last updated Aug 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750015640 NPPES
Massachusetts Other MTN961241126 BLUE CROSS BLUE SHIELD (BCBS)

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