Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | LP05276 | RI |
NPI | 1275209504 |
---|---|
Provider Name | Motasem Salameh |
First Address | Warwick, RI 02886-1668 |
Second Address | East Providence, RI 02914-5375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |