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Provider Information for 1477766459



DR. MICHAEL PAUL VALERIO DMD

Gender: MALE

Individual NPI: 1477766459

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1477766459
Enumeration Date 2007-05-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4 WOODCREST CT
WARREN, NJ 07059-5828
United States

Phone: 908-754-4183 | Fax:
View Map External Link
Primary Practice Address 524-42ND STREET
UNION CITY, NJ 07087
United States

Phone: 201-863-9090 | Fax: 201-863-5905
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ 22DI01156600