Provider Demographics
NPI:1346295722
Name:SALVATORE, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:SALVATORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SAVANNAH RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1499
Mailing Address - Country:US
Mailing Address - Phone:302-645-3232
Mailing Address - Fax:302-645-9500
Practice Address - Street 1:400 SAVANNAH RD
Practice Address - Street 2:SUITE B
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1499
Practice Address - Country:US
Practice Address - Phone:302-645-3232
Practice Address - Fax:302-644-3560
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004235207RP1001X, 207RC0200X, 207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000H86OtherCOVENTRY HEALTH CARE
DE000000207649OtherUNISON HEALTH CARE
DE0000842501OtherDIAMOND STATE MEDICAID
DE522011PULOtherBCBS OF DE. PULMONARY
DE0000842501Medicaid
DE0000842501OtherDE.PHYSICIANS CARE MCAID
DE000000207649OtherUNISON HEALTH CARE
DE0000842501OtherDE.PHYSICIANS CARE MCAID