Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 3207 | MA |
Y | 111NN1001X | Nutrition | 3207 | MA |
NPI | 1225274699 |
---|---|
Provider Name | Dr. Antoine Antoine Salameh |
First Address | Norwood, MA 02062-2343 |
Second Address | Norwood, MA 02062-2343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2009 |
Last Update Date | 06/01/2009 |