Doctor Name: | SALVATORE MILAZZO |
NPI Number: | 1386763910 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB05013800 |
Business Practice Address: | 2509 Park Ave Suite 2d South Plainfield, NJ - 070805300 |
Business Phone Number: | 9087538622 |
Business Fax Number: | |
Mailing Address: | 405 Coolidge Dr, KENILWORTH |
State: | NJ |
Postal Code: | 070331512 |
Phone Number: | 9082722861 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB05013800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |