HomeNPI Verification

NPI Verification

National Provider Identifier: 1811039357

Wayne Raymond Detorres, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

4 GODWIN AVENUE

MIDLAND PARK, NJ 07432

Phone: 201-444-7070

NPI Enumeration Date

February 13, 2007

NPI Number

1811039357

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry