Provider Demographics
NPI:1932129004
Name:TORRE, WAYNE JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:JOSEPH
Last Name:TORRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4729 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-7431
Mailing Address - Country:US
Mailing Address - Phone:540-989-6396
Mailing Address - Fax:
Practice Address - Street 1:VA MEDICAL CENTER, 1970 ROANOKE BLVD
Practice Address - Street 2:BLDG 143 RM IFG 145A, PATHOLOGY
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-224-1923
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-036065207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology