MEDICARE: VINCENT A LATTARI MD

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	2085R0202X	Diagnostic Radiology Physician	MD058646L	PA
2	2085R0204X	Vascular & Interventional Radiology Physician	MD058646L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1384076	OTHER		HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861469652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT A LATTARI MD

Provider Business Mailing Address
First Line	:	7 ACEE DR
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-9700
Country	:	US
Telephone Number	:	800-223-5544
Fax Number	:	724-294-3206

Provider Business Practice Location Address
First Line	:	3824 NORTHERN PIKE
Second Line	:	SUITE 200
City	:	MONROEVILLE
State	:	PA
Zip	:	15146
Country	:	US
Telephone Number	:	412-373-6342
Fax Number	:	412-373-6347

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	06/08/2022

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Directions to “ VINCENT A LATTARI MD” Practice Location

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