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General NPI Number Information
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NPI Number | 1942913173
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Entity Type | Organization
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Legal Business Name | SALVO PHYSICIAN PRACTICE PA
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 316 BERRHILL DR
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-3669
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Country | US
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Telephone | 917-267-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 335 MADISON AVE RM 7D
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City | NEW YORK
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State | NY
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Zip | 10017-4687
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MAX PITMAN
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Credential | MD
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Telephone | 917-267-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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