Detorres, Wayne Raymond
Detorres, Wayne Raymond is an individual health care provider with primary practice located at 4 Godwin Avenue , Midland Park NJ 07432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Detorres, Wayne Raymond can be contacted via phone (201) 444-7070.Contact Information
Primary practice address
4 Godwin Avenue
Midland Park NJ 07432
Phone: (201) 444-7070
Fax: (201) 444-7228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MA70238 | New Jersey |
Profile Details
| NPI number | 1811039357 |
|---|---|
| LBN Legal business name | Detorres, Wayne Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811039357 | NPPES |
| New Jersey | MEDICAID | 8348001 |
Popular Providers
-
Mackey, Timothy Joseph
4 Godwin Avenue , Midland Park NJ 07432 -
Angell, Alan Howard
855 Route 146 Bldg B , Clifton Park NY 12065-3885 -
Antiles, Leonard
Greystone Park Psychiatric Hospital 1 Central Avenue, Greystone Park NJ 07950 -
Frey, Howard Lawrence
4 Godwin Avenue , Midland Park NJ 07432 -
Agarwal, Saurabh
4 Godwin Ave , Midland Park NJ 07432-1980 -
Klafter, George
663 Palisade Ave Ste 304 , Cliffside Park NJ 07010-3012 -
Park, Ji Hae
500 1St St , Palisades Park NJ 07650-2662 -
Margolis, Eric
663 Palisade Ave Ste 304 , Cliffside Park NJ 07010-3012