MEDICARE: STEVEN C TIZIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	25MA09473600	NJ
2	208C00000X	Colon & Rectal Surgery Physician	25MA09473600	NJ

General Provider Information

NPI Number	:	1285809541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C TIZIO MD

Provider Business Mailing Address
First Line	:	1706 CORLIES AVENUE SUITE 5
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753
Country	:	US
Telephone Number	:	732-775-5005
Fax Number	:	732-775-0064

Provider Business Practice Location Address
First Line	:	766 SHREWSBURY AVE
Second Line	:	SUITE 405
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-3001
Country	:	US
Telephone Number	:	732-450-1500
Fax Number	:	732-450-1555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	03/08/2022

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Directions to “ STEVEN C TIZIO MD” Practice Location

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