Individual
ANDREW NELSON DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, REGAN 2007, PATERSON, NJ 07503-2621
(973) 754-2315
(973) 754-3528
Mailing address
703 MAIN ST, REGAN 2007, PATERSON, NJ 07503-2621
(973) 754-2315
(973) 754-3528
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA06093000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8532907
—
NJ
Enumeration date
07/11/2006
Last updated
01/16/2014
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