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General NPI Number Information
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NPI Number | 1013098565
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Entity Type | Individual
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Provider Name | ROBERT L SALTH OD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 123 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1324
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Country | US
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Telephone | 856-784-0936
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Fax | 856-784-1062
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Provider Business Mailing Address
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Address Line | 123 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1324
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Country | US
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Telephone | 856-784-0936
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Fax | 856-784-1062
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 02828
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License Number State | NJ
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