1497171011 NPI number — MS. CAROL TORCHIA CLINTON MS

Table of content: CHAMIKA ROBBINS (NPI 1700752110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497171011 NPI number — MS. CAROL TORCHIA CLINTON MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLINTON
Provider First Name:
CAROL
Provider Middle Name:
TORCHIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CLINTON
Provider Other First Name:
CAROL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1497171011
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 ROUTE 28
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRIDGEWATER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08807-1918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-672-8209
Provider Business Mailing Address Fax Number:
908-506-0295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
231 ROUTE 28
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRIDGEWATER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08807-1918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-672-8209
Provider Business Practice Location Address Fax Number:
908-506-0295
Provider Enumeration Date:
03/06/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133NN1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)