Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DN1855357 | MA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DN1855357 | MA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 243606 | MA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 243606 | MA |
NPI | 1386788479 |
---|---|
Provider Name | Dr. Andrew Raymond Salama |
First Address | Boston, MA 02118-2308 |
Second Address | Boston, MA 02118-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 14/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
829310400 | (05) | MD |
F17157 | (02) | MD |
H86282 | (02) | MD |
I14704 | (02) | MD |
T83571 | (02) | MD |