Healthcare Provider Details

I. General information

NPI: 1558123711
Provider Name (Legal Business Name): SALOMON JN BAPTISTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

IV. Provider business mailing address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

V. Phone/Fax

Practice location:
  • Phone: 781-709-7128
  • Fax:
Mailing address:
  • Phone: 781-709-7128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: