Organization
EDINA TORLAK MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDINA TORLAK MD (OWNER/PROVIDER)
(502) 893-7372
Entity
Organization
Contact information
Practice address
3950 KRESGE WAY STE 302, LOUISVILLE, KY 40207-4637
(502) 893-7372
Mailing address
3950 KRESGE WAY STE 302, LOUISVILLE, KY 40207-4637
(502) 893-7372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248431
ANTHEM BLUE CROSS
KY
01
—
50000177
PASSPORT
KY
05
—
64058332
—
KY
Enumeration date
02/28/2008
Last updated
02/28/2008
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