Individual
DR. RAFAEL LATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5616
(014) 420-5812
Mailing address
148 ENGLE ST, ENGLEWOOD, NJ 07631-2581
(201) 569-1530
(201) 569-6022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06179400
NJ
207R00000X
Internal Medicine Physician
MA061794
NJ
Other
Enumeration date
10/16/2006
Last updated
07/25/2024
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