Healthcare Provider Details

I. General information

NPI: 1164333043
Provider Name (Legal Business Name): JUSTIN TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MORGAN RD
FLEMINGTON NJ
08822-1902
US

IV. Provider business mailing address

3 MORGAN RD
FLEMINGTON NJ
08822-1902
US

V. Phone/Fax

Practice location:
  • Phone: 908-255-9542
  • Fax:
Mailing address:
  • Phone: 908-255-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: