Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 25MA08983500 | NJ |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD026990E | PA |
NPI | 1275519829 |
---|---|
Provider Name | Gary David Salkind |
First Address | Chicago, IL 60608-1169 |
Second Address | Princeton, NJ 08540-6235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 15/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009553850009 | (05) | PA |
0277312 | (05) | NJ |
B41904 | (02) |