Provider Demographics
NPI:1013199538
Name:DILORENZO, WILLIAM R (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:DILORENZO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-7330
Mailing Address - Country:US
Mailing Address - Phone:732-473-0158
Mailing Address - Fax:732-473-0033
Practice Address - Street 1:367 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7330
Practice Address - Country:US
Practice Address - Phone:732-473-0158
Practice Address - Fax:732-473-0033
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08389000207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology