Healthcare Provider Details

I. General information

NPI: 1679091987
Provider Name (Legal Business Name): YORIO FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 02/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 HAMBURG TPKE STE 18B
WAYNE NJ
07470-2132
US

IV. Provider business mailing address

220 HAMBURG TPKE STE 18B
WAYNE NJ
07470-2132
US

V. Phone/Fax

Practice location:
  • Phone: 973-826-0068
  • Fax:
Mailing address:
  • Phone: 973-826-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB07947800
License Number StateNJ

VIII. Authorized Official

Name: DAVID YORIO
Title or Position: PHYSICIAN
Credential: DO
Phone: 973-826-0068