| Salvatore J. Milazzo,d.o.,p.a. | |
|
19-21 Fair Lawn Ave Suite H Fair Lawn NJ 07410-2331 | |
| (908) 272-2861 | |
| Not Available |
| Full Name | Salvatore J. Milazzo,d.o.,p.a. |
|---|---|
| Speciality | General Practice |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Salvatore J Milazzo (PRESIDENT) |
| Authorized Official Contact | 9082722861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salvatore J. Milazzo,d.o.,p.a. 405 Coolidge Dr Kenilworth NJ 07033-1512 Ph: (908) 272-2861 | Salvatore J. Milazzo,d.o.,p.a. 19-21 Fair Lawn Ave Suite H Fair Lawn NJ 07410-2331 Ph: (908) 272-2861 |
| NPI Number | 1497874036 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648210476 |
|---|---|
| Medicare Enrollment ID | O20050511000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497874036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MB05013800 (New Jersey) | Primary |
| Provider Name | Salvatore J Milazzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386763910 PECOS PAC ID: 0345280343 Enrollment ID: I20050510000258 |
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