Provider Demographics
NPI:1497047955
Name:AKUAMOAH, LATRICE (MD)
Entity type:Individual
Prefix:
First Name:LATRICE
Middle Name:
Last Name:AKUAMOAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MONROE ST STE C208
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6350
Mailing Address - Country:US
Mailing Address - Phone:201-533-9200
Mailing Address - Fax:201-533-9299
Practice Address - Street 1:720 MONROE ST STE C208
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6350
Practice Address - Country:US
Practice Address - Phone:201-533-9200
Practice Address - Fax:201-533-9299
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279631-1207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine