Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MB08389000 | NJ |
NPI | 1013199538 |
---|---|
Provider Name | Dr. William R Dilorenzo |
First Address | Toms River, NJ 08755-7330 |
Second Address | Toms River, NJ 08755-7330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 15/12/2011 |