Provider Demographics
NPI:1831241694
Name:SALZMAN, GREGG L (DC)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:L
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TREMBLAY RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4563
Mailing Address - Country:US
Mailing Address - Phone:410-218-6500
Mailing Address - Fax:
Practice Address - Street 1:11301 AMHERST AVE
Practice Address - Street 2:#102
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4665
Practice Address - Country:US
Practice Address - Phone:301-933-7827
Practice Address - Fax:240-290-0342
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor