Provider Demographics
NPI:1063770436
Name:SALON RISPOLI INC.
Entity type:Organization
Organization Name:SALON RISPOLI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RISPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-731-9202
Mailing Address - Street 1:1115 CHURCHMANS RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2112
Mailing Address - Country:US
Mailing Address - Phone:302-731-9202
Mailing Address - Fax:
Practice Address - Street 1:1115 CHURCHMANS RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2112
Practice Address - Country:US
Practice Address - Phone:302-731-9202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies