Provider Demographics
NPI:1568221802
Name:SALEJ, LAURA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:SALEJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DEVOTION ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6051
Mailing Address - Country:US
Mailing Address - Phone:857-395-3819
Mailing Address - Fax:
Practice Address - Street 1:CALLE 140 # 6-10
Practice Address - Street 2:MONTEARROYO, PORTERIA 13, TORRE 11, APTO 101
Practice Address - City:BOGOTA
Practice Address - State:BOGOTA
Practice Address - Zip Code:110121
Practice Address - Country:CO
Practice Address - Phone:857-395-3819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program