Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 034350 | CT |
NPI | 1033157714 |
---|---|
Provider Name | Dr. Richard P Salzano JR. |
First Address | Derby, CT 06418-1328 |
Second Address | New Haven, CT 06511-5210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1343508 | (05) | CT |
G02619 | (02) | CT |