Provider Demographics
NPI:1992721740
Name:TORTORELLA, JOHN PETER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:TORTORELLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5005
Mailing Address - Country:US
Mailing Address - Phone:845-343-0928
Mailing Address - Fax:845-343-3234
Practice Address - Street 1:18 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5005
Practice Address - Country:US
Practice Address - Phone:845-343-0928
Practice Address - Fax:845-343-3234
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY097206207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology