Provider Demographics
NPI:1063455004
Name:D'ORIO, DOUGLAS DOWNING (MSN, APN C, FNP C)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:DOWNING
Last Name:D'ORIO
Suffix:
Gender:M
Credentials:MSN, APN C, FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 AMBERTON WAY
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1243
Mailing Address - Country:US
Mailing Address - Phone:609-202-6156
Mailing Address - Fax:
Practice Address - Street 1:1225 WHITEHORSE MERCERVILLE RD STE 202
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3882
Practice Address - Country:US
Practice Address - Phone:609-581-0002
Practice Address - Fax:609-581-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009079363LF0000X
MDR142342363LF0000X
TX714376363LF0000X
NJ26NJ00066600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
11689336OtherCAQH
NJ0122637Medicaid
318663OtherAMERIGROUP