Provider Demographics
NPI:1295713048
Name:LATHAN, CHRISTOPHER SCOTT (MD MS MPH)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:LATHAN
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Gender:M
Credentials:MD MS MPH
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Mailing Address - Street 1:46 AQUEDUCT RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4621
Mailing Address - Country:US
Mailing Address - Phone:617-632-6634
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-6634
Practice Address - Fax:617-632-2270
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2020-02-19
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Provider Licenses
StateLicense IDTaxonomies
MA211082207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology