Provider Demographics
NPI:1306274121
Name:IORIO, PATRICIA (RD)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:IORIO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MARGUERITE
Other - Last Name:STRUENING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:602 DEVENWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510
Mailing Address - Country:US
Mailing Address - Phone:978-875-1313
Mailing Address - Fax:
Practice Address - Street 1:602 DEVENWOOD WAY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510
Practice Address - Country:US
Practice Address - Phone:978-875-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1059133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered