Individual
DR. MADELYNE LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1100 CENTENNIAL AVE, SUITE 102, PISCATAWAY, NJ 08854-4152
(732) 981-8000
(732) 981-8070
Mailing address
1100 CENTENNIAL AVE, SUITE 102, PISCATAWAY, NJ 08854-4152
(732) 981-8000
(732) 981-8070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00653100
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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