Individual
DR. PAUL M DILORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MAIN ST, SUITE 104, EATONTOWN, NJ 07724-3450
(732) 935-1390
(732) 222-8108
Mailing address
PO BOX 954, EATONTOWN, NJ 07724-0954
(732) 935-1390
(732) 222-8108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA42976
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA42976
LICENSE NUMBER
NJ
Enumeration date
11/28/2006
Last updated
07/09/2007
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