Provider Demographics
NPI:1164549796
Name:LATZ, CATHARINA (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHARINA
Middle Name:
Last Name:LATZ
Suffix:
Gender:F
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W CONCORD ST # 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-1508
Mailing Address - Country:US
Mailing Address - Phone:508-735-0759
Mailing Address - Fax:
Practice Address - Street 1:132 W CONCORD ST # 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1508
Practice Address - Country:US
Practice Address - Phone:508-735-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210432207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology