Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 232432 | MA |
NPI | 1033316153 |
---|---|
Provider Name | Carolyn Saluti |
First Address | Plymouth, MA 02360 |
Second Address | Plymouth, MA 02360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 16/11/2021 |