MEDICARE: EDWARD SALTZMAN M.D.

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	81797	MA

General Provider Information

NPI Number	:	1700844180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD SALTZMAN M.D.

Provider Business Mailing Address
First Line	:	711 WASHINGTON ST
Second Line	:	USDA HNRC
City	:	BOSTON
State	:	MA
Zip	:	02111-1524
Country	:	US
Telephone Number	:	617-556-3245
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 WASHINGTON ST
Second Line	:	USDA HNRC
City	:	BOSTON
State	:	MA
Zip	:	02111-1524
Country	:	US
Telephone Number	:	617-556-3245
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/22/2010

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