MEDICARE: STEPHEN F. LATMAN 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	207X00000X	Orthopaedic Surgery Physician	MD011210E	PA

General Provider Information

NPI Number	:	1881627222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN F. LATMAN M.D.

Provider Business Mailing Address
First Line	:	2130 PENN AVE
Second Line	:
City	:	WEST LAWN
State	:	PA
Zip	:	19609-1600
Country	:	US
Telephone Number	:	610-670-2280
Fax Number	:	610-678-5300

Provider Business Practice Location Address
First Line	:	2130 PENN AVE
Second Line	:
City	:	WEST LAWN
State	:	PA
Zip	:	19609-1600
Country	:	US
Telephone Number	:	610-670-2280
Fax Number	:	610-678-5300

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/08/2007

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