MEDICARE: KARIM SALEM

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DL10720	MA

General Provider Information

NPI Number	:	1548491905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIM SALEM

Provider Business Mailing Address
First Line	:	62 BOYLSTON ST APT 810
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02116-4787
Country	:	US
Telephone Number	:	781-308-9955
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 BOYLSTON ST APT 810
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02116-4787
Country	:	US
Telephone Number	:	781-308-9955
Fax Number	:

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

Provider Enumeration Date	:	08/03/2009
Last Update Date	:	08/03/2009

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Directions to “ KARIM SALEM ” Practice Location

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