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NPI Code Detail

MEDICARE: DR. GREGORY DELORENZO MD

MEDICARE: DR. GREGORY DELORENZO 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
1207RR0500XRheumatology Physician35056885OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508812538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY DELORENZO MD
Provider Business Mailing Address
First Line : 4600 WESLEY AVE
Second Line : STE N
City : CINCINNATI
State : OH
Zip : 45212-2298
Country : US
Telephone Number : 513-841-5520
Fax Number : 513-841-1580
Provider Business Practice Location Address
First Line : 2001 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3325
Country : US
Telephone Number : 513-922-1200
Fax Number : 513-922-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/06/2010

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Directions to “ DR. GREGORY DELORENZO MD” Practice Location

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