Wayne Raymond Detorres, MD

NPI #1811039357 in Midland Park, New Jersey

Provider Information

NPI Number: 1811039357
Entity Type: Individual
Name: Wayne Raymond Detorres, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Feb 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4 GODWIN AVENUE
City: Midland Park
State: New Jersey
ZIP Code: 07432
Phone: (201) 444-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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