Provider Demographics
NPI:1831184522
Name:IORIO, LOUIS M (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:M
Last Name:IORIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1281
Mailing Address - Country:US
Mailing Address - Phone:732-780-9191
Mailing Address - Fax:732-780-0961
Practice Address - Street 1:780 ROUTE 34
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1281
Practice Address - Country:US
Practice Address - Phone:732-780-9191
Practice Address - Fax:732-780-0961
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA69140208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7941102Medicaid
NJIO026934Medicare ID - Type Unspecified
NJ7941102Medicaid