Healthcare Provider Details

I. General information

NPI: 1275631194
Provider Name (Legal Business Name): RICHARD IORIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MALL RD LAHEY CLINIC
BURLINGTON MA
01805-0001
US

IV. Provider business mailing address

375 BOYLSTON ST
BROOKLINE MA
02445-6007
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-8227
  • Fax: 781-744-5345
Mailing address:
  • Phone: 857-307-0896
  • Fax: 857-307-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number76287
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: