Provider Demographics
NPI:1215945779
Name:SALESE, GIUSEPPE (MD)
Entity type:Individual
Prefix:
First Name:GIUSEPPE
Middle Name:
Last Name:SALESE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:85 S JEFFERSON ST
Mailing Address - Street 2:STE. 1
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1562
Mailing Address - Country:US
Mailing Address - Phone:973-677-3466
Mailing Address - Fax:973-677-2362
Practice Address - Street 1:85 S JEFFERSON ST
Practice Address - Street 2:STE. 3
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1562
Practice Address - Country:US
Practice Address - Phone:973-673-3522
Practice Address - Fax:973-673-0018
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03405200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0082504000OtherAMERIHEALTH
6099954OtherGHI
P843368OtherOXFORD
NYJS037N9810OtherEMPIRE BCBS
NJ133196OtherAETNA
NJ1K9908OtherHEALTHNET
NJ4811003Medicaid
0082504000OtherAMERIHEALTH
P843368OtherOXFORD