Provider Demographics
NPI:1558633586
Name:SALTARRELLI, JEROME GILBERT JR (PHD, D(ABHI))
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:GILBERT
Last Name:SALTARRELLI
Suffix:JR
Gender:M
Credentials:PHD, D(ABHI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN STREET MSB 6.282
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-500-7376
Mailing Address - Fax:713-500-0784
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7376
Practice Address - Fax:713-500-0784
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other