Provider Demographics
NPI:1568467884
Name:E. RONALD SALVITTI, M.D., INC.
Entity Type:Organization
Organization Name:E. RONALD SALVITTI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:E
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:SALVITTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-228-2982
Mailing Address - Street 1:750 E BEAU ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6661
Mailing Address - Country:US
Mailing Address - Phone:724-228-2982
Mailing Address - Fax:724-228-8117
Practice Address - Street 1:750 E BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6661
Practice Address - Country:US
Practice Address - Phone:724-228-2982
Practice Address - Fax:724-228-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007522E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007305570009Medicaid
PA1007305570009Medicaid
PA0561630001Medicare NSC