Provider Demographics
NPI:1275697682
Name:TUZZEO, SALVATORE THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:THOMAS
Last Name:TUZZEO
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 1:122 MARSELLUS PL
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1833
Mailing Address - Country:US
Mailing Address - Phone:973-546-4062
Mailing Address - Fax:973-546-8379
Practice Address - Street 1:122 MARSELLUS PL
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1833
Practice Address - Country:US
Practice Address - Phone:973-546-4062
Practice Address - Fax:973-546-8379
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA032158002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53507Medicare UPIN