Provider Demographics
NPI:1134494917
Name:TORSIELLO PLASTIC SURGERY AND WOUND CARE LLC
Entity Type:Organization
Organization Name:TORSIELLO PLASTIC SURGERY AND WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOLCATO
Authorized Official - Suffix:
Authorized Official - Credentials:RMM, RMC
Authorized Official - Phone:201-986-1003
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-0300
Mailing Address - Country:US
Mailing Address - Phone:201-986-1003
Mailing Address - Fax:
Practice Address - Street 1:30 W CENTURY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1433
Practice Address - Country:US
Practice Address - Phone:201-986-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA040298002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty