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General NPI Number Information
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NPI Number | 1184841900
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Entity Type | Individual
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Provider Name | MATTHEW J TORTORA MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS ROAD
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-322-5763
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66689
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City | FALMOUTH
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State | ME
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Zip | 04105
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Country | US
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Telephone | 866-689-8859
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Fax | 207-347-7401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MT186470
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 25MA08573600
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License Number State | NJ
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