Healthcare Provider Details

I. General information

NPI: 1366627028
Provider Name (Legal Business Name): ANGELO DEL PRIORE DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 973-998-8898
  • Fax: 973-998-8902
Mailing address:
  • Phone: 973-998-8898
  • Fax: 973-998-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number25MD00172200
License Number StateNJ

VIII. Authorized Official

Name: DR. ANGELO DEL PRIORE
Title or Position: OWNER
Credential: DPM
Phone: 973-998-8898