Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 210494 | MA |
NPI | 1003859265 |
---|---|
Provider Name | Efrain A Torres |
First Address | New Bedford, MA 02740-2208 |
Second Address | New Bedford, MA 02740-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 18/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000124194 | UNISON HEALTH PLAN (01) | PA |
1858813 | (05) | PA |
20012020 | AMERIHEALTH MERCY (01) | PA |
2263550000 | AMERIHEALTH 65 (01) | PA |
H56040 | (02) | PA |
P003208 | GATEWAY HEALTH PLAN (01) | PA |
T01584790 | HIGHMARK BLUE SHIELD (01) | PA |