Provider Demographics
NPI:1700844180
Name:SALTZMAN, EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 WASHINGTON ST
Mailing Address - Street 2:USDA HNRC
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1524
Mailing Address - Country:US
Mailing Address - Phone:617-556-3245
Mailing Address - Fax:
Practice Address - Street 1:711 WASHINGTON ST
Practice Address - Street 2:USDA HNRC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1524
Practice Address - Country:US
Practice Address - Phone:617-556-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine