Provider Demographics
NPI:1437448164
Name:SALTZMAN, DEREK S (PT)
Entity Type:Individual
Prefix:
First Name:DEREK
Middle Name:S
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:651 ORCHARD ST
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02744
Mailing Address - Country:US
Mailing Address - Phone:774-628-9169
Mailing Address - Fax:774-328-8059
Practice Address - Street 1:651 ORCHARD ST
Practice Address - Street 2:SUITE 202A
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744
Practice Address - Country:US
Practice Address - Phone:774-628-9169
Practice Address - Fax:774-328-8059
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2014-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA111992081P2900X, 2083S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine