Provider Demographics
NPI:1588994974
Name:J.L.SALIZZONI MD PC
Entity type:Organization
Organization Name:J.L.SALIZZONI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALIZZONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-265-2391
Mailing Address - Street 1:21 MERRITT DR
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1820
Mailing Address - Country:US
Mailing Address - Phone:551-265-2391
Mailing Address - Fax:
Practice Address - Street 1:21 MERRITT DR
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1820
Practice Address - Country:US
Practice Address - Phone:551-265-2391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA52004207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty