Healthcare Provider Details

I. General information

NPI: 1093718215
Provider Name (Legal Business Name): RALPH THOMAS SALVAGNO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N PENNSYLVANIA AVE
HANCOCK MD
21750-1135
US

IV. Provider business mailing address

3 GRAND ST
HANCOCK MD
21750-1208
US

V. Phone/Fax

Practice location:
  • Phone: 240-513-6352
  • Fax:
Mailing address:
  • Phone: 240-513-6352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0034975
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: