MEDICARE: MRS. DONNA ARTHUR SALVO

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	235Z00000X	Speech-Language Pathologist	41YS00053400	NJ

General Provider Information

NPI Number	:	1669647665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA ARTHUR SALVO

Provider Business Mailing Address
First Line	:	1436 WESTFIELD AVE
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-1363
Country	:	US
Telephone Number	:	908-208-3289
Fax Number	:

Provider Business Practice Location Address
First Line	:	1436 WESTFIELD AVE
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-1363
Country	:	US
Telephone Number	:	908-208-3289
Fax Number	:

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	03/17/2018

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Directions to “ MRS. DONNA ARTHUR SALVO ” Practice Location

Language	Start Address	Practice Location

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