Healthcare Provider Details

I. General information

NPI: 1558412809
Provider Name (Legal Business Name): SALVATORE S LAURIA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 10/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 LUBRONO DR SUITE 300
ANNAPOLIS MD
21401-7028
US

IV. Provider business mailing address

128 LUBRONO DR SUITE 300
ANNAPOLIS MD
21401-7028
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-1495
  • Fax:
Mailing address:
  • Phone: 410-224-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SALVATORE S LAURIA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-224-1495