Doctor Name: | DR. AURELIO F SALON |
NPI Number: | 1194969162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 188465 |
Business Practice Address: | 60 Dutch Lane Rd Freehold, NJ - 077282212 |
Business Phone Number: | 7323081735 |
Business Fax Number: | |
Mailing Address: | 60 Dutch Lane Rd, FREEHOLD |
State: | NJ |
Postal Code: | 077282212 |
Phone Number: | 7323081735 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 188465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |