MEDICARE: DR. RALPH J SALVIETTI 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	207R00000X	Internal Medicine Physician	023668	CT

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	:	1336126846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH J SALVIETTI MD

Provider Business Mailing Address
First Line	:	PO BOX 1086
Second Line	:	HARTFORD MEDICAL GROUP
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1086
Country	:	US
Telephone Number	:	508-595-0531
Fax Number	:	508-829-5367

Provider Business Practice Location Address
First Line	:	200 RETREAT AVE
Second Line	:	DONNELLY BUILDING
City	:	HARTFORD
State	:	CT
Zip	:	06106-3309
Country	:	US
Telephone Number	:	860-545-7224
Fax Number	:	860-545-7482

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	02/25/2013

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