MEDICARE: DAVID YORIO D.O

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	207QA0000X	Adolescent Medicine (Family Medicine) Physician	25MB07947800	NJ

General Provider Information

NPI Number	:	1487759171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID YORIO D.O

Provider Business Mailing Address
First Line	:	220 HAMBURG TPKE STE 18B
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2132
Country	:	US
Telephone Number	:	973-826-0068
Fax Number	:	973-807-1886

Provider Business Practice Location Address
First Line	:	220 HAMBURG TPKE STE 18B
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2132
Country	:	US
Telephone Number	:	973-826-0068
Fax Number	:

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/04/2018

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Directions to “ DAVID YORIO D.O” Practice Location

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