Provider Demographics
NPI:1124251939
Name:TORRES, JONATHAN WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:WILLIAM
Last Name:TORRES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:973-656-6280
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:435 SOUTH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6440
Practice Address - Country:US
Practice Address - Phone:973-971-4222
Practice Address - Fax:862-260-3125
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2013-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08972700207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM