Provider Demographics
NPI:1083669709
Name:TORRE, ARTHUR J (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:TORRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOLLYWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1113
Mailing Address - Country:US
Mailing Address - Phone:973-882-0880
Mailing Address - Fax:973-882-9539
Practice Address - Street 1:25 HOLLYWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-1113
Practice Address - Country:US
Practice Address - Phone:973-882-0880
Practice Address - Fax:973-882-9539
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO2517900207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP816773OtherOXFORD
D92524Medicare UPIN
NJP816773OtherOXFORD