Healthcare Provider Details

I. General information

NPI: 1659067767
Provider Name (Legal Business Name): CARLOS ARTURO SALDARRIAGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 12TH AVE
NEWARK NJ
07103-2782
US

IV. Provider business mailing address

431 3RD AVE SE # APP205
ROCHESTER MN
55904-4869
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-4300
  • Fax:
Mailing address:
  • Phone: 178-686-1961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA13216100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number390200000X
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: