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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ 22DI01156600
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location