Provider Demographics
NPI:1285910125
Name:SALKOVITZ, HAROLD
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:
Last Name:SALKOVITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 N KESWICK AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4804
Mailing Address - Country:US
Mailing Address - Phone:215-885-4327
Mailing Address - Fax:215-885-5965
Practice Address - Street 1:252 N KESWICK AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4804
Practice Address - Country:US
Practice Address - Phone:215-885-4327
Practice Address - Fax:215-885-5965
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
PA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician