Provider Demographics
NPI:1285809541
Name:TIZIO, STEVEN C (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:TIZIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1706 CORLIES AVENUE SUITE 5
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-775-5005
Mailing Address - Fax:732-775-0064
Practice Address - Street 1:766 SHREWSBURY AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3001
Practice Address - Country:US
Practice Address - Phone:732-450-1500
Practice Address - Fax:732-450-1555
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2022-03-08
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09473600208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery