Salvatore M. Laraia, Md, PA

NPI #1336335413 in Fort Lee, New Jersey

Provider Information

NPI Number: 1336335413
Entity Type: Organization
Organization Name: Salvatore M. Laraia, Md, PA
Primary Specialty: Internal Medicine
Enumeration Date: Sep 21, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 1625 ANDERSON AVE
Address 2: SUITE 304
City: Fort Lee
State: New Jersey
ZIP Code: 07024-2748
Phone: (201) 944-7676

Authorized Official

Name: DR. MICHAEL DENNIS HERNANDEZ, MD
Title: PHYSICIAN
Phone: (201) 944-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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