MEDICARE: DR. DANIEL SALTER 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	207L00000X	Anesthesiology Physician	55302	MA

General Provider Information

NPI Number	:	1669467486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SALTER MD

Provider Business Mailing Address
First Line	:	6 KITSON PARK DR
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-8109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 KITSON PARK DR
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-8109
Country	:	US
Telephone Number	:	781-710-7300
Fax Number	:

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	07/08/2007

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