Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 213237 | MA |
N | 111NI0900X | Internist | 213237 | MA |
N | 207RA0201X | Internist - Allergy & Immunology | 213237 | MA |
N | 207RC0200X | Critical Care Medicine | 213237 | MA |
Y | 207RP1001X | Pulmonary Disease | 213237 | MA |
NPI | 1871567149 |
---|---|
Provider Name | Corey B Saltin |
First Address | Leominster, MA 01453 |
Second Address | Leominster, MA 01453-2238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 09/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2116294 | (05) | MA |
2121247 | (05) | MA |
420157 | TUFTS (01) | |
9771476 | GROUP MEDICAID (01) | |
AA53540 | HARVARD PILGRIM (01) | |
J29788 | BLUE CROSS OF MASS (01) |