Provider Demographics
NPI:1902355852
Name:TORRES, ANNETTE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MAPLE ST
Mailing Address - Street 2:PH
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1411
Mailing Address - Country:US
Mailing Address - Phone:201-338-2791
Mailing Address - Fax:
Practice Address - Street 1:105 MAPLE ST
Practice Address - Street 2:PH
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1411
Practice Address - Country:US
Practice Address - Phone:201-338-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist