Organization Name: | SALVATORE J. MILAZZO,D.O.,P.A. |
NPI Number: | 1497874036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALVATORE J MILAZZO (PRESIDENT) |
Mailing Address: | 19-21 Fair Lawn Ave Suite H Fair Lawn |
State: | NJ US |
Postal Code: | 074102331 |
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: |