Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 25MA02961200 | NJ |
NPI | 1245215664 |
---|---|
Provider Name | Dr. Salvatore Dangelo |
First Address | Ridgewood, NJ 07450-4509 |
Second Address | Ridgewood, NJ 07450-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 16/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01078270 | AMERIGROUP (01) | NJ |
0150142000 | AMERIHEALTH (01) | NJ |
0493902 | (05) | NJ |
1111081 | HORIZON N.J. FAMILYCARE (01) | NJ |
1161071 | HORIZON N.J. FAMILYCARE (01) | NJ |
8328385 | CIGNA (01) | NJ |
8828709 | (05) | NJ |
C54160 | (02) | |
P3284699 | OXFORD (01) | NJ |