Provider Demographics
NPI:1073194361
Name:TORRES, ADALINA (MD)
Entity type:Individual
Prefix:
First Name:ADALINA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6045 KENNEDY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-3246
Mailing Address - Country:US
Mailing Address - Phone:201-453-0322
Mailing Address - Fax:201-453-0325
Practice Address - Street 1:6045 KENNEDY BLVD STE B
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-3246
Practice Address - Country:US
Practice Address - Phone:201-453-0322
Practice Address - Fax:201-453-0325
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA12247300207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine