Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD424430 | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD424430 | PA |
N | 207V00000X | Obstetrician & Gynecologist | MD424430 | PA |
NPI | 1184658189 |
---|---|
Provider Name | Dr. Brooke E. Salzman |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Philadelphia, PA 19107-4414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 02/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0075779 | (05) | NJ |
101338039 | (05) | PA |