Provider Demographics
NPI:1114956067
Name:SALIB, HAYMAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:HAYMAN
Middle Name:S
Last Name:SALIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3465 NAZARETH RD
Mailing Address - Street 2:STE 102
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8359
Mailing Address - Country:US
Mailing Address - Phone:610-330-2630
Mailing Address - Fax:610-330-2632
Practice Address - Street 1:3465 NAZARETH RD
Practice Address - Street 2:STE 102
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8359
Practice Address - Country:US
Practice Address - Phone:610-330-2630
Practice Address - Fax:610-330-2632
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2022-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06831800173000000X
PAMD053781L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017572490002Medicaid
G00504Medicare UPIN
PA0017572490002Medicaid
NJ037447Medicare PIN