Individual
JUAN JOEL LATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 CLINTON ST, HOBOKEN, NJ 07030-2502
(201) 418-3144
(201) 418-3151
Mailing address
122 CLINTON ST, HOBOKEN, NJ 07030-2502
(201) 418-3144
(201) 418-3151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06218100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6688604
—
NJ
01
—
791932N2Z
BCBS
NJ
Enumeration date
11/01/2006
Last updated
07/08/2007
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