MEDICARE: CONSTANCE DELIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MA69873	NJ

General Provider Information

NPI Number	:	1033284393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANCE DELIO MD

Provider Business Mailing Address
First Line	:	77 BRANT AVENUE
Second Line	:	SUITE 200
City	:	CLARK
State	:	NJ
Zip	:	07066
Country	:	US
Telephone Number	:	732-382-0091
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 E 2ND ST
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-1749
Country	:	US
Telephone Number	:	908-322-7786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	06/03/2014

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Directions to “ CONSTANCE DELIO MD” Practice Location

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