Organization
VITANUTRIENT IV LLC
Active
Other names
Salerno Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL SALERNO DO (PHYSICIAM/OWNER)
(516) 680-7777
Entity
Organization
Contact information
Practice address
2 TRAP FALLS RD STE 503, SHELTON, CT 06484-4690
(475) 269-2138
(475) 269-2138
Mailing address
2 TRAP FALLS RD STE 503, SHELTON, CT 06484-4690
(475) 269-2138
(475) 269-2138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175754
NY LICENSE
NY
01
—
25MB11370100
NJ LICENSE
NJ
01
—
353
CT LICENSE
CT
01
—
OS8416
FL LICENSE
FL
Enumeration date
03/28/2025
Last updated
05/09/2025
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