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Salvatore J. Milazzo,d.O.,p.A.

General Practice in Fair Lawn, NJ. Organization (NPI-2).

NPI number1497874036
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497874036
Entity type
Organization (NPI-2)
Legal business name
Salvatore J. Milazzo,d.O.,p.A.
Organization subpart
No
Enumeration date
Mar 28, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice25MB05013800NJYes

Practice location

19-21 Fair Lawn Ave
Suite H
Fair Lawn, NJ 07410-2331

Phone 908-272-2861

Mailing address

405 Coolidge Dr
Kenilworth, NJ 07033-1512

Phone 908-272-2861

Authorized official

Salvatore J Milazzo
President
9082722861

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