WAYNE R DETORRES

UROLOGY GROUP PA

Dr WAYNE R DETORRES is a male medical professional, specializing in Urology. He graduated in 1988 from Tufts University School Of Medicine.

Contact

UROLOGY GROUP PA

4 GODWIN AVE
MIDLAND PARK
NJ
074321980

Tel: 2014447070

WAYNE R DETORRES Information

Npi 1811039357
Pac Id 8426242603
Professional Enrollment Id I20101102000053
Last Name DETORRES
First Name WAYNE
Middle Name R
Suffix
Gender M
Credential
Medical School Name TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UROLOGY GROUP PA
Group Practice Pac Id 7214908102
Number Of Group Practice Members 7
Line 1 Street Address 4 GODWIN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MIDLAND PARK
State NJ
Zip Code 074321980
Phone Number 2014447070
Hospital Affiliation Ccn 1 310012
Hospital Affiliation Lbn 1 VALLEY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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