Provider Demographics
NPI:1245231562
Name:SALZER, A. MICHAEL (MA, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:A.
Middle Name:MICHAEL
Last Name:SALZER
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8021
Mailing Address - Country:US
Mailing Address - Phone:732-914-8022
Mailing Address - Fax:732-914-0066
Practice Address - Street 1:500 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8021
Practice Address - Country:US
Practice Address - Phone:732-914-8022
Practice Address - Fax:732-914-0066
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA557231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3069256OtherAETNA
NJ1171515OtherHORIZON
NJ048986Medicare ID - Type Unspecified