Provider Demographics
NPI:1174688493
Name:CONTE, SALVATORE (MD)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:CONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 MCBRIDE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2543
Mailing Address - Country:US
Mailing Address - Phone:973-790-8811
Mailing Address - Fax:973-790-8817
Practice Address - Street 1:1167 MCBRIDE AVE STE 1
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2543
Practice Address - Country:US
Practice Address - Phone:973-790-8811
Practice Address - Fax:973-790-8817
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06624900207R00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care