Provider Demographics
NPI:1770907925
Name:TOROWICZ, STEPHEN DAVID (LAC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:DAVID
Last Name:TOROWICZ
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RIVERVIEW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1749
Mailing Address - Country:US
Mailing Address - Phone:908-489-5162
Mailing Address - Fax:
Practice Address - Street 1:800 RIVERVIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1749
Practice Address - Country:US
Practice Address - Phone:908-489-5162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0996171100000X
NJ25MZ00040900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist