MEDICARE: ANTHONY J. DIORIO DDS,PC

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	261QD0000X	Dental Clinic/Center	DS024179L	PA

General Provider Information

NPI Number	:	1689718066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY J. DIORIO DDS,PC

Provider Business Mailing Address
First Line	:	7046 TORRESDALE AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19135-1915
Country	:	US
Telephone Number	:	215-624-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	7046 TORRESDALE AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19135-1915
Country	:	US
Telephone Number	:	215-624-4955
Fax Number	:

Authorized Official
Title or Position	:	DENTIST, PRESIDENT
Name	:	DR. ANTHONY JOSEPH DIORIO
Credential	:	DDS
Telephone Number	:	215-624-4955

Provider Enumeration Date	:	02/18/2007
Last Update Date	:	08/04/2008

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