MEDICARE: LATRICE AKUAMOAH M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	279631-1	NY

General Provider Information

NPI Number	:	1497047955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATRICE AKUAMOAH M.D.

Provider Business Mailing Address
First Line	:	720 MONROE ST STE C208
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6350
Country	:	US
Telephone Number	:	201-533-9200
Fax Number	:	201-533-9299

Provider Business Practice Location Address
First Line	:	720 MONROE ST STE C208
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6350
Country	:	US
Telephone Number	:	201-533-9200
Fax Number	:	201-533-9299

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

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	03/26/2025

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