Provider Demographics
NPI:1548418791
Name:SALAMERA, JULIUS BUTARAN (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:BUTARAN
Last Name:SALAMERA
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 1:2120 OCEAN AVE
Mailing Address - Street 2:# 5A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1426
Mailing Address - Country:US
Mailing Address - Phone:917-325-0384
Mailing Address - Fax:
Practice Address - Street 1:655 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07206-1391
Practice Address - Country:US
Practice Address - Phone:908-994-7600
Practice Address - Fax:908-994-7599
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08944900174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist