Provider Demographics
NPI:1114914363
Name:SALVA, PAUL S (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:SALVA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:781 CHESTNUT ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1623
Mailing Address - Country:US
Mailing Address - Phone:413-739-4144
Mailing Address - Fax:413-739-7377
Practice Address - Street 1:781 CHESTNUT ST
Practice Address - Street 2:SUITE 11
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1623
Practice Address - Country:US
Practice Address - Phone:413-739-4144
Practice Address - Fax:413-739-7377
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA792482080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology