Provider Demographics
NPI:1609859677
Name:ARLORO, VINCENT (DPM)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:ARLORO
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 1:138 W 56TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2210
Mailing Address - Country:US
Mailing Address - Phone:201-823-2778
Mailing Address - Fax:201-823-1019
Practice Address - Street 1:138 W 56TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2210
Practice Address - Country:US
Practice Address - Phone:201-823-2778
Practice Address - Fax:201-823-1019
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00267800213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE00222479576Medicaid
U94394Medicare UPIN
NJ067896Medicare ID - Type Unspecified