MEDICARE: ROSARIO CRUZ TORIO D.D.S.

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	1223G0001X	General Practice Dentistry	DI20116	NJ

General Provider Information

NPI Number	:	1730399593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSARIO CRUZ TORIO D.D.S.

Provider Business Mailing Address
First Line	:	5008 WOODBRIDGE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-3303
Country	:	US
Telephone Number	:	732-661-1800
Fax Number	:	732-661-1813

Provider Business Practice Location Address
First Line	:	5008 WOODBRIDGE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-3303
Country	:	US
Telephone Number	:	732-661-1800
Fax Number	:	732-661-1813

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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