Provider Demographics
NPI:1972634467
Name:EDWARD M SALGADO MD PC
Entity type:Organization
Organization Name:EDWARD M SALGADO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-865-5993
Mailing Address - Street 1:825 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1168
Mailing Address - Country:US
Mailing Address - Phone:610-865-5993
Mailing Address - Fax:610-866-8819
Practice Address - Street 1:825 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1168
Practice Address - Country:US
Practice Address - Phone:610-865-5993
Practice Address - Fax:610-866-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA019017OtherHIGHMARK BLUE SHIELD
PA01225001OtherCAPITAL BLUE CROSS
PAB33262Medicare UPIN
PA019017OtherHIGHMARK BLUE SHIELD