MEDICARE: RONALD SOLOMON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician	135946	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285721639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD SOLOMON MD

Provider Business Mailing Address
First Line	:	PO BOX 13252
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4023
Country	:	US
Telephone Number	:	718-625-4975
Fax Number	:	855-851-6744

Provider Business Practice Location Address
First Line	:	185 MONTAGUE ST
Second Line	:	4TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3600
Country	:	US
Telephone Number	:	718-625-4975
Fax Number	:	718-625-8312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	01/08/2016

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