Provider Demographics
NPI:1902851355
Name:SALVAJI, MADHU (DO)
Entity Type:Individual
Prefix:DR
First Name:MADHU
Middle Name:
Last Name:SALVAJI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2130 MILLBURN AVE
Mailing Address - Street 2:SUITE A4
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3725
Mailing Address - Country:US
Mailing Address - Phone:908-654-1200
Mailing Address - Fax:908-654-1206
Practice Address - Street 1:1216 ROUTE 22
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2606
Practice Address - Country:US
Practice Address - Phone:908-654-1200
Practice Address - Fax:908-654-1206
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB072684207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ108288Medicare PIN