Provider Demographics
NPI:1083836944
Name:TURIZO, MARIA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:TURIZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 BROAD ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3000
Mailing Address - Country:US
Mailing Address - Phone:973-233-5494
Mailing Address - Fax:973-233-5492
Practice Address - Street 1:1255 BROAD ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3000
Practice Address - Country:US
Practice Address - Phone:973-233-5494
Practice Address - Fax:973-233-5492
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08207300208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics