Individual
DR. SALVATORE DANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
71 S MAPLE AVE, RIDGEWOOD, NJ 07450-4509
(201) 445-4557
(201) 445-2365
Mailing address
71 S MAPLE AVE, RIDGEWOOD, NJ 07450-4509
(201) 445-4557
(201) 445-2365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA29612
NJ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
25MA02961200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078270
AMERIGROUP
NJ
01
—
0150142000
AMERIHEALTH
NJ
05
—
0493902
—
NJ
01
—
1111081
HORIZON N.J. FAMILYCARE
NJ
01
—
1161071
HORIZON N.J. FAMILYCARE
NJ
01
—
8328385
CIGNA
NJ
05
—
8828709
—
NJ
01
—
P3284699
OXFORD
NJ
Enumeration date
12/08/2005
Last updated
12/16/2016
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