Provider Demographics
NPI:1386676427
Name:FIORE, ELIZABETH J (DO)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:J
Last Name:FIORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:J
Other - Last Name:FELDINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:40 BEY LEA RD
Mailing Address - Street 2:SUITE B203
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2900
Mailing Address - Country:US
Mailing Address - Phone:732-341-0720
Mailing Address - Fax:732-244-6842
Practice Address - Street 1:40 BEY LEA RD
Practice Address - Street 2:SUITE B203
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2900
Practice Address - Country:US
Practice Address - Phone:732-341-0720
Practice Address - Fax:732-244-6842
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07584500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
2695870OtherGHI
3125390OtherAETNA
11335055OtherCAQH
9410413OtherPHCS
P3056464OtherOXFORD
37990OtherUNIVERSITY
60013873OtherHORIZON NJ HEALTH
60013875OtherHORIZON NJ HEALTH
60013887OtherHORIZON NJ HEALTH
60013892OtherHORIZON NJ HEALTH