De La Torre, Andrew Nelson

De La Torre, Andrew Nelson is an individual health care provider with primary practice located at 703 Main St Regan 2007, Paterson NJ 07503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. De La Torre, Andrew Nelson can be contacted via phone (973) 754-2315.

Contact Information

Primary practice address
703 Main St Regan 2007 Paterson NJ 07503-2621
Fax: (973) 754-3528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA06093000 New Jersey

Profile Details

NPI number 1184659823
LBN Legal business name De La Torre, Andrew Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184659823 NPPES
New Jersey MEDICAID 8532907

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