Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00209500 | NJ |
NPI | 1366481038 |
---|---|
Provider Name | Dr. David Iorio |
First Address | Trenton, NJ 08619-3882 |
Second Address | Trenton, NJ 08619-4413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 01/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5142601 | (05) | NJ |
U13083 | (02) | NJ |