Individual
DR. TORIAN J EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, MPH
Contact information
Practice address
90 BERGEN ST, STE 0300 LL, NEWARK, NJ 07103-2425
(973) 972-2111
(973) 972-2754
Mailing address
183 SOUTH ORANGE AVE P.O BOX 1709, BHSB, E-1563, NEWARK, NJ 07101-1709
(973) 972-2495
(973) 972-7997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09174100
NJ
207Q00000X
Family Medicine Physician
APPLIED FOR
NY
Other
Enumeration date
05/07/2010
Last updated
11/21/2012
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