MEDICARE: DR. ANTONIO SERGIO TORLONI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	32074	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00134063	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86080015085259A927	OTHER	AZ	TRIWEST

General Provider Information

NPI Number	:	1134102023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO SERGIO TORLONI M.D

Provider Business Mailing Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	480-256-6444
Fax Number	:	480-256-3682

Provider Business Practice Location Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	480-256-6444
Fax Number	:	480-256-3682

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	03/05/2025

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Directions to “ DR. ANTONIO SERGIO TORLONI M.D” Practice Location

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