Basic Information
| Provider Information | |||||||||
| NPI: | 1558824474 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SALTZMAN | ||||||||
| FirstName: | MAYA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 854 HOLMDEL RD | ||||||||
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| City: | HOLMDEL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077331731 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322757429 | ||||||||
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| Practice Location | |||||||||
| Address1: | 30 PROSPECT AVE | ||||||||
| Address2: | |||||||||
| City: | HACKENSACK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076011915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5519962000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2019 | ||||||||
| LastUpdateDate: | 07/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 317196 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.