Provider Demographics
NPI:1497938914
Name:SALERNO, MATTHEW S (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:S
Last Name:SALERNO
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Mailing Address - Street 2:BLD 3-B
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4002
Mailing Address - Country:US
Mailing Address - Phone:908-852-7575
Mailing Address - Fax:908-852-9083
Practice Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:BLD 3-B
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4002
Practice Address - Country:US
Practice Address - Phone:908-852-7575
Practice Address - Fax:908-852-9083
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00901000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ032081OtherPHYSICAL THERAPIST