Healthcare Provider Details

I. General information

NPI: 1568434512
Provider Name (Legal Business Name): DOUGLAS SALVADOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 BEECH ST STE 404
HOLYOKE MA
01040-2223
US

IV. Provider business mailing address

575 BEECH ST STE 404
HOLYOKE MA
01040-2223
US

V. Phone/Fax

Practice location:
  • Phone: 413-535-4889
  • Fax: 413-535-4899
Mailing address:
  • Phone: 413-535-4889
  • Fax: 413-535-4899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number209371
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: