Doctor Name: | DR. ANTONIO N LORENO |
NPI Number: | 1992899629 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA02816100 |
Business Practice Address: | 717 North Beers Street Holmdel, NJ - 07733 |
Business Phone Number: | 7327392810 |
Business Fax Number: | 7327394681 |
Mailing Address: | 717 North Beers Street, HOLMDEL |
State: | NJ |
Postal Code: | 07733 |
Phone Number: | 7327392810 |
Fax Number: | 7327394681 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA02816100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |