=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285808808
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. SALVATORE A. CONTE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2008
-----------------------------------------------------
Last Update Date | 04/15/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 417 TOTOWA RD
-----------------------------------------------------
City | TOTOWA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07512-2080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-790-8811
-----------------------------------------------------
Fax | 973-790-8817
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 417 TOTOWA RD
-----------------------------------------------------
City | TOTOWA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07512-2080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-790-8811
-----------------------------------------------------
Fax | 973-790-8817
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. SALVATORE A CONTE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 973-790-8811
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | MA66249
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------