| Doctor Name: | DR. DOUGLAS N DELORENZO |
| NPI Number: | 1093898975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | MD002204 |
| Business Practice Address: | 3228 State Route 27 Suite 1b Kendall Park, NJ - 088241524 |
| Business Phone Number: | 7322973002 |
| Business Fax Number: | 7322973004 |
| Mailing Address: | 3228 Rt. 27, Suite 1b KENDALL PARK |
| State: | NJ |
| Postal Code: | 08824 |
| Phone Number: | 7322973002 |
| Fax Number: | 7322973004 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD002204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |