Healthcare Provider Details
I. General information
NPI: 1235178872
Provider Name (Legal Business Name): MICHAEL ENDRODI SALACZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/06/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 HOSPITAL AVE
DANBURY CT
06810-6007
US
IV. Provider business mailing address
33 HOSPITAL AVE
DANBURY CT
06810-6007
US
V. Phone/Fax
- Phone: 816-914-5748
- Fax:
- Phone: 816-914-5748
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 346202 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 25MA10982500 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 86436 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: