Healthcare Provider Details

I. General information

NPI: 1538279658
Provider Name (Legal Business Name): ANGELO DEL PRIORE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGS RD
MADISON NJ
07940
US

IV. Provider business mailing address

290 MADISON AVE STE 3A
MORRISTOWN NJ
07960-7401
US

V. Phone/Fax

Practice location:
  • Phone: 973-822-2922
  • Fax: 973-377-8106
Mailing address:
  • Phone: 973-998-8898
  • Fax: 973-998-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00172200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: