Doctor Name: | MRS. JEAN A TORELLO-DENION |
NPI Number: | 1801062641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHA, PA-C |
License Number: | MA000785L |
Business Practice Address: | 229 S Mountain Blvd Mountain Top, PA - 187071911 |
Business Phone Number: | 5704745847 |
Business Fax Number: | |
Mailing Address: | 229 S Mountain Blvd, MOUNTAIN TOP |
State: | PA |
Postal Code: | 187071911 |
Phone Number: | 5704745847 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA000785L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |