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NPI Code Detail

MEDICARE: ANDRES SALAZAR

MEDICARE:   ANDRES  SALAZAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianD0051051MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265594493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRES SALAZAR
Provider Business Mailing Address
First Line : 3621 LIGON RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-5238
Country : US
Telephone Number : 410-750-7954
Fax Number :
Provider Business Practice Location Address
First Line : 3621 LIGON RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-5238
Country : US
Telephone Number : 410-486-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/26/2018

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Directions to “ ANDRES SALAZAR ” Practice Location

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