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General NPI Number Information
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NPI Number | 1497080055
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Entity Type | Individual
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Provider Name | MOHAMMED JAWAD LATIF MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 80 JAMES ST FL 2
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City | EDISON
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State | NJ
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Zip | 08820-3938
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Country | US
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Telephone | 732-635-9300
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Fax | 732-852-1697
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 25MA11877800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 70570
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License Number State | CT
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