Provider Demographics
NPI:1891984969
Name:SALANITRO, ANGELA S (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:SALANITRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:S
Other - Last Name:BELLIZZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:176 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-2414
Mailing Address - Country:US
Mailing Address - Phone:073-743-1245
Mailing Address - Fax:074-043-9249
Practice Address - Street 1:176 FOREST AVE
Practice Address - Street 2:
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-2414
Practice Address - Country:US
Practice Address - Phone:073-743-1245
Practice Address - Fax:074-043-9249
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA18726207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy