Provider Demographics
NPI:1548979503
Name:SALZMAN, DANIEL BRYAN
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:BRYAN
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 EASTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8412
Mailing Address - Country:US
Mailing Address - Phone:732-239-5381
Mailing Address - Fax:
Practice Address - Street 1:42 EASTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8412
Practice Address - Country:US
Practice Address - Phone:732-239-5381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer