Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 19671 | MA |
NPI | 1124174354 |
---|---|
Provider Name | Dr. Craig A Saltzman |
First Address | Springfield, MA 01103 |
Second Address | Springfield, MA 01103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |