Provider Demographics
NPI:1407017767
Name:CERIO, DEAN RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:RICHARD
Last Name:CERIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:79 HUDSON ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5638
Mailing Address - Country:US
Mailing Address - Phone:201-449-1000
Mailing Address - Fax:201-399-2433
Practice Address - Street 1:79 HUDSON ST
Practice Address - Street 2:SUITE 700
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5638
Practice Address - Country:US
Practice Address - Phone:201-449-1000
Practice Address - Fax:201-399-2433
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL288352086S0122X
NJ25MA089540002086S0122X
NY2606712086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery