Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 79248 | MA |
NPI | 1114914363 |
---|---|
Provider Name | Dr. Paul S Salva |
First Address | Springfield, MA 01107-1623 |
Second Address | Springfield, MA 01107-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 08/07/2007 |