Provider Demographics
NPI:1366481038
Name:IORIO, DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:IORIO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:BLDG. D, SUITE 203
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3882
Mailing Address - Country:US
Mailing Address - Phone:609-581-6085
Mailing Address - Fax:609-581-9561
Practice Address - Street 1:866 STATE HIGHWAY 33
Practice Address - Street 2:SUITE 4
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-4413
Practice Address - Country:US
Practice Address - Phone:609-228-3077
Practice Address - Fax:609-228-3076
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00209500213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5142601Medicaid
NJIO0031497Medicare ID - Type Unspecified
NJ5142601Medicaid