Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 01057954A | IN |
Y | 2086S0129X | Vascular Surgeon | MD445407 | PA |
NPI | 1033204805 |
---|---|
Provider Name | Dr. Dawn Maria Salvatore |
First Address | Philadelphia, PA 19107-4824 |
Second Address | Philadelphia, PA 19107-4824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 13/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001857413 | (05) | PA |
0307840 | (05) | NJ |
F59362 | (02) | IN |