Provider Demographics
NPI:1164577615
Name:SALZMAN, MARC J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:J
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4702 CHAMBERLAIN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1106
Mailing Address - Country:US
Mailing Address - Phone:502-425-5200
Mailing Address - Fax:502-425-7900
Practice Address - Street 1:4702 CHAMBERLAIN LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-1106
Practice Address - Country:US
Practice Address - Phone:502-425-5200
Practice Address - Fax:502-425-7900
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY28265208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery