Provider Demographics
NPI:1033316153
Name:SALUTI, CAROLYN (DO)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:SALUTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LONG POND RD
Mailing Address - Street 2:STE 206
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-338-4119
Mailing Address - Fax:508-213-3781
Practice Address - Street 1:110 LONG POND RD
Practice Address - Street 2:STE 206
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-338-4119
Practice Address - Fax:508-213-3781
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232432207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine