Individual
DR. FREDERICK CORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 SPARTA AVE, SUITE 120, SPARTA, NJ 07871-1777
(973) 729-0002
(973) 726-4456
Mailing address
241 NEWTON SPARTA RD, NEWTON, NJ 07860-2771
(717) 293-3223
(717) 390-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05322000
NJ
2085R0202X
Diagnostic Radiology Physician
MA53220
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952307
—
NJ
Enumeration date
07/11/2006
Last updated
03/04/2009
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