Andres Salazar
Family Doctor - Geriatric Medicine
3621 Ligon Rd
Ellicott City
, Maryland 21042-5238
Andres Salazar
Family Doctor - Geriatric Medicine
3621 Ligon Rd
Ellicott City
, Maryland 21042-5238
(410) 750-7954
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Andres Salazar
- 3621 Ligon Rd
- Ellicott City, MD
- Zip : 21042-5238
- Phone : (410) 750-7954
Second Address
- Andres Salazar
- 3621 Ligon Rd
- Ellicott City, MD
- Zip : 21042-5238
- Phone : (410) 486-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | D0051051 | MD |
National Provider Identifier
| NPI | 1265594493 |
|---|---|
| Provider Name | Andres Salazar |
| First Address | Ellicott City, MD 21042-5238 |
| Second Address | Ellicott City, MD 21042-5238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2006 |
| Last Update Date | 26/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 692900100 | (05) | MD |
| G40689 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.