Provider Demographics
NPI:1912189002
Name:KENNETH H. SALZSIEDER,MD LTD
Entity Type:Organization
Organization Name:KENNETH H. SALZSIEDER,MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SALZSIEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-739-3044
Mailing Address - Street 1:470 TOLL GATE ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2741
Mailing Address - Country:US
Mailing Address - Phone:401-739-3044
Mailing Address - Fax:401-738-1511
Practice Address - Street 1:470 TOLL GATE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2741
Practice Address - Country:US
Practice Address - Phone:401-739-3044
Practice Address - Fax:401-738-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty