Provider Demographics
NPI:1255314506
Name:TORO-SALAZAR, OLGA HELENA (MD)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:HELENA
Last Name:TORO-SALAZAR
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 1:282 WASHINGTON STREET
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-545-9400
Mailing Address - Fax:860-545-9410
Practice Address - Street 1:282 WASHINGTON STREET
Practice Address - Street 2:SUITE 2B
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-545-9400
Practice Address - Fax:860-545-9410
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0372102080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1255314506Medicaid
CT001372101Medicaid
CT1255314506Medicaid
CT001372101Medicaid
CTG95900Medicare UPIN