Provider Demographics
NPI:1386665412
Name:PEDIATRIC PULMONOLOGY OF WESTERN NEW ENGLAND, P.C.
Entity Type:Organization
Organization Name:PEDIATRIC PULMONOLOGY OF WESTERN NEW ENGLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:413-739-4144
Mailing Address - Street 1:780 CHESTNUT ST
Mailing Address - Street 2:STE. 11
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1610
Mailing Address - Country:US
Mailing Address - Phone:413-739-4144
Mailing Address - Fax:413-739-7377
Practice Address - Street 1:780 CHESTNUT ST
Practice Address - Street 2:STE. 11
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1610
Practice Address - Country:US
Practice Address - Phone:413-739-4144
Practice Address - Fax:413-739-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty