Basic Information
Provider Information
NPI: 1760623417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IORIO
FirstName: MATTHEW
MiddleName: LOUIS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 110429
Address2:  
City: AURORA
State: CO
PostalCode: 800420429
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 12605 E 16TH AVE
Address2:  
City: AURORA
State: CO
PostalCode: 800452545
CountryCode: US
TelephoneNumber: 3034937000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2009
LastUpdateDate: 06/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208200000XDR.0059687CON Allopathic & Osteopathic PhysiciansPlastic Surgery 
2082S0105XDR.0059687COY Allopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand

No ID Information.


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