Individual
DR. SALVATORE INFANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5634
(201) 796-9225
(201) 796-7606
Mailing address
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5634
(201) 796-9200
(201) 796-7606
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MA041348
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001448029001
UNITED HEALTHCARE
NJ
01
—
0K2007
HEALTHNET
NJ
01
—
109738
CROWN CORK AND SEAL
NJ
01
—
221868199
TAX ID
NJ
01
—
376426
MVP
—
01
—
4274472
AETNA
NJ
01
—
92A25
WELLCHOICE
—
01
—
P686347
OXFORD
NJ
Enumeration date
06/02/2005
Last updated
09/09/2008
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