MEDICARE: LAUREN SALTZBURG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MB10166000	NJ

General Provider Information

NPI Number	:	1356734057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SALTZBURG D.O.

Provider Business Mailing Address
First Line	:	23436 MIRABELLA CIR S
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-6128
Country	:	US
Telephone Number	:	609-828-5802
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 NEW RD STE 115
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1152
Country	:	US
Telephone Number	:	609-828-5802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	03/19/2026

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