Healthcare Provider Details

I. General information

NPI: 1043216575
Provider Name (Legal Business Name): LOUIS IORIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 01/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WASHINGTON AVE
HAMDEN CT
06518-3267
US

IV. Provider business mailing address

9 WASHINGTON AVE
HAMDEN CT
06518-3267
US

V. Phone/Fax

Practice location:
  • Phone: 203-865-6784
  • Fax: 203-865-6788
Mailing address:
  • Phone: 203-865-6784
  • Fax: 203-865-6788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036660
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: