Healthcare Provider Details

I. General information

NPI: 1437299492
Provider Name (Legal Business Name): GILBERT M. SALTMAN M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FAIRCHILD CIR
TRUMBULL CT
06611-3663
US

IV. Provider business mailing address

6 FAIRCHILD CIR
TRUMBULL CT
06611-3663
US

V. Phone/Fax

Practice location:
  • Phone: 203-261-1889
  • Fax: 203-445-2845
Mailing address:
  • Phone: 203-261-1889
  • Fax: 203-445-2845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberM.S. UNIV. OF BPT
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: