Provider Demographics
NPI:1043325624
Name:SALZBERG, ANDREA KRUMHOLZ (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:KRUMHOLZ
Last Name:SALZBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 COLE BLVD.
Mailing Address - Street 2:STE #100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:1536 COLE BLVD
Practice Address - Street 2:BLDG 4, SUITE 250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3413
Practice Address - Country:US
Practice Address - Phone:303-716-8027
Practice Address - Fax:303-238-5258
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43568207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16134362Medicaid
CO16134362Medicaid
COCOA100578Medicare PIN