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1104985183 NPI number — J. JORDAN STORLAZZI JR. M.D.

NPI Number: 1104985183
Health Care Provider/Practitioner: J. JORDAN STORLAZZI JR. M.D.

Information about “1104985183” NPI (J. JORDAN STORLAZZI JR. M.D.) exists in 1104985183 in HTML format HTML  |  1104985183 in plain Text format TXT  |  1104985183 in PDF (Portable Document Format) PDF  |  1104985183 in an XML format XML  formats.

NPI Number : 1104985183 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104985183",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STORLAZZI",
    "FirstName": "J.",
    "MiddleName": "JORDAN",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2700 SILVERSIDE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19810-3719",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-478-1975",
    "MailingAddressFaxNumber": "302-478-9120",
    "FirstLinePracticeLocationAddress": "2700 SILVERSIDE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19810-3719",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-478-1975",
    "PracticeLocationAddressFaxNumber": "302-478-9120",
    "EnumerationDate": "12/06/2006",
    "LastUpdateDate": "07/13/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2080P0006X",
        "TaxonomyName": "Developmental - Behavioral Pediatrics Physician",
        "LicenseNumber": "C1-0000170",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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