MEDICARE: JAMES SALAZAR, DPM PC

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	213E00000X	Podiatrist	MD02435	NJ

General Provider Information

NPI Number	:	1790974954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES SALAZAR, DPM PC

Provider Business Mailing Address
First Line	:	456 BOULEVARD
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1519
Country	:	US
Telephone Number	:	201-288-5888
Fax Number	:	201-288-2359

Provider Business Practice Location Address
First Line	:	456 BOULEVARD
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1519
Country	:	US
Telephone Number	:	201-288-5888
Fax Number	:	201-288-2359

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. JAMES SALAZAR
Credential	:
Telephone Number	:	201-288-5888

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	10/20/2021

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