Healthcare Provider Details

I. General information

NPI: 1285885020
Provider Name (Legal Business Name): ARTHUR J. TORRE, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOLLYWOOD AVE
FAIRFIELD NJ
07004-1113
US

IV. Provider business mailing address

25 HOLLYWOOD AVE
FAIRFIELD NJ
07004-1113
US

V. Phone/Fax

Practice location:
  • Phone: 973-882-0880
  • Fax: 973-882-9539
Mailing address:
  • Phone: 973-882-0880
  • Fax: 973-882-9539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number25MA02517900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number25MA02517900
License Number StateNJ

VIII. Authorized Official

Name: ARTHUR J TORRE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-882-0880