Provider Demographics
NPI:1609337245
Name:SALAM, WAQAS (DO)
Entity Type:Individual
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First Name:WAQAS
Middle Name:
Last Name:SALAM
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Gender:M
Credentials:DO
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Mailing Address - Street 1:800 WESTCHESTER AVE STE N715
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1369
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:40 CROSS ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-4800
Practice Address - Fax:203-845-4873
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2022-08-29
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Provider Licenses
StateLicense IDTaxonomies
CT62750207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine