MEDICARE: MULTI-CARE MEDICAL, PC

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		MO

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	:	1427056084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTI-CARE MEDICAL, PC

Provider Business Mailing Address
First Line	:	12277 DE PAUL DR
Second Line	:	SUITE 404
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2516
Country	:	US
Telephone Number	:	314-770-1000
Fax Number	:	314-770-2456

Provider Business Practice Location Address
First Line	:	12277 DE PAUL DR
Second Line	:	STE 404
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2536
Country	:	US
Telephone Number	:	314-770-1000
Fax Number	:	314-770-2456

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELVIN BORIS SALTZMAN
Credential	:	DO
Telephone Number	:	314-770-1000

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/21/2022

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