Provider Demographics
NPI:1922044478
Name:SALSBURG, ELIZABETH LAURA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LAURA
Last Name:SALSBURG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1744 ALCATRAZ AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2713
Mailing Address - Country:US
Mailing Address - Phone:510-652-1720
Mailing Address - Fax:510-652-2624
Practice Address - Street 1:1744 ALCATRAZ AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2713
Practice Address - Country:US
Practice Address - Phone:510-652-1720
Practice Address - Fax:510-652-2624
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG83460208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG83460OtherLICENSE
CAG83460OtherLICENSE
CAG83460OtherLICENSE