Provider Demographics
NPI:1538279658
Name:DEL PRIORE, ANGELO (DPM)
Entity Type:Individual
Prefix:
First Name:ANGELO
Middle Name:
Last Name:DEL PRIORE
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 1:290 MADISON AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7401
Mailing Address - Country:US
Mailing Address - Phone:973-998-8898
Mailing Address - Fax:973-998-8902
Practice Address - Street 1:100 KINGS RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940
Practice Address - Country:US
Practice Address - Phone:973-822-2922
Practice Address - Fax:973-377-8106
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00172200213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1334701Medicaid