Provider Demographics
NPI:1073863544
Name:TORSIELLO, MARISA GERIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARISA
Middle Name:GERIN
Last Name:TORSIELLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 DUCHESS CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4439
Mailing Address - Country:US
Mailing Address - Phone:732-687-0759
Mailing Address - Fax:
Practice Address - Street 1:637 DUCHESS CT
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-4439
Practice Address - Country:US
Practice Address - Phone:732-687-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03519300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist