Organization
THE AUTISM TELEMEDICINE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R TORCATO M.D. (CEO)
(610) 567-3857
Entity
Organization
Contact information
Practice address
119 BLACK WALNUT LN, PLYMOUTH MEETING, PA 19462-1948
(610) 567-3857
Mailing address
119 BLACK WALNUT LN, PLYMOUTH MEETING, PA 19462-1948
(610) 567-3857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD059220L
PA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
MD059220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01603171
—
PA
01
—
MD059220L
MEDICAL LICENSE
PA
Enumeration date
02/13/2016
Last updated
02/13/2016
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