Provider Demographics
NPI:1407946189
Name:SALIERNO, ANTHONY L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:L
Last Name:SALIERNO
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 1:535 SASYBROOK ROAD
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4711
Mailing Address - Country:US
Mailing Address - Phone:860-347-9377
Mailing Address - Fax:860-347-4146
Practice Address - Street 1:535 SAYBROOK ROAD
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4711
Practice Address - Country:US
Practice Address - Phone:860-347-9377
Practice Address - Fax:860-347-4146
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039619174400000X, 207W00000X
CT39819207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT020553664OtherCHN
CT001396193-01Medicaid
CT001396193Medicaid
CT004172821Medicaid
CT010039619CT06OtherANTHEM
CT9684734OtherGHI
CT008242OtherCONNECTICARE
CT5611815OtherAETNA
CTP2548379OtherOXFORD
CT020553664OtherCIGNA
CT001396193-01Medicaid
CT020553664OtherCHN
CTG94154Medicare UPIN