Latuga, Mariam Susan

Latuga, Mariam Susan is an individual health care provider with primary practice located at 4101 N Roxboro St , Durham NC 27704-2121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Latuga, Mariam Susan can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
4101 N Roxboro St Durham NC 27704-2121
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 231585 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005-01168 North Carolina

Profile Details

NPI number 1700884749
LBN Legal business name Latuga, Mariam Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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