Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 214221 | MA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 228276 | MA |
NPI | 1215917265 |
---|---|
Provider Name | Dr. Joshua Warren Salvin |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 18/06/2019 |