Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 37039 | MA |
Y | 207VG0400X | Gynecologist | 5617 | NH |
NPI | 1124151287 |
---|---|
Provider Name | Dr. Shuja U Saleem |
First Address | Salem, NH 03079-2897 |
Second Address | Salem, NH 03079-2897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 15/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3103437 | (05) | NH |
6143504 | (05) | MA |
CO7083 | BLUE CROSS BLUE SHIELD MA (01) | MA |
D78714 | HARVARD PILGRIM HEALTH CARE (01) | MA |
P01599407 | RAILROAD MEDICARE (01) | NH |