Healthcare Provider Details

I. General information

NPI: 1386613438
Provider Name (Legal Business Name): JOSEPH IUORNO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 GASKINS RD
HENRICO VA
23233-1441
US

IV. Provider business mailing address

3855 GASKINS RD
HENRICO VA
23233-1441
US

V. Phone/Fax

Practice location:
  • Phone: 804-217-6363
  • Fax: 804-217-6400
Mailing address:
  • Phone: 804-217-6363
  • Fax: 804-217-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101237542
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number0101237542
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: