Dangelo, Salvatore

Dangelo, Salvatore is an individual health care provider with primary practice located at 71 S Maple Ave , Ridgewood NJ 07450-4509. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Dangelo, Salvatore can be contacted via phone (201) 445-4557.

Contact Information

Primary practice address
71 S Maple Ave Ridgewood NJ 07450-4509
Phone: (201) 445-4557
Fax: (201) 445-2365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA29612 New Jersey
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 25MA02961200 New Jersey

Profile Details

NPI number 1245215664
LBN Legal business name Dangelo, Salvatore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Dec 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245215664 NPPES
New Jersey MEDICAID 0493902
New Jersey Other 1111081
New Jersey Other 1161071
New Jersey Other 01078270
New Jersey Other 0150142000
New Jersey Other P3284699
New Jersey Other 8328385
New Jersey MEDICAID 8828709

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