Healthcare Provider Details

I. General information

NPI: 1871629816
Provider Name (Legal Business Name): JOSEPH MICHAEL SALOMONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 FAIRFAX ROAD SUITE #2
SAINT ALBANS VT
05478-4005
US

IV. Provider business mailing address

53 FAIRFAX ROAD SUITE #2
SAINT ALBANS VT
05478-4005
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-2779
  • Fax: 802-524-6587
Mailing address:
  • Phone: 802-524-2779
  • Fax: 802-524-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0420009286
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: