Individual provider · Type 1 NPI
Muiz Abdul Latif, PA
Surgical Physician Assistant · West Haven, CT
NPI number
1861585739
Active
Practice location
950 Campbell Ave, Surgical SERVICE/112
West Haven, CT 06516-2770
Fax (203) 937-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 001648 (CT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1861585739
Muiz Abdul Latif, PA's National Provider Identifier is 1861585739, issued on Oct 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Haven, CT. The record was last updated on Jul 8, 2007.