MEDICARE: DR. PAUL ANGELO LATORA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	25MD00187600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346254638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ANGELO LATORA DPM

Provider Business Mailing Address
First Line	:	312 BELLEVILLE TPKE
Second Line	:	SUITE 1B
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6463
Country	:	US
Telephone Number	:	201-998-3668
Fax Number	:	201-997-6610

Provider Business Practice Location Address
First Line	:	312 BELLEVILLE TPKE
Second Line	:	SUITE 1B
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6463
Country	:	US
Telephone Number	:	201-998-3668
Fax Number	:	201-997-6610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	06/30/2010

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