Provider Demographics
NPI:1952678708
Name:JOSEPH SALAMA, MD PC
Entity Type:Organization
Organization Name:JOSEPH SALAMA, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-647-0660
Mailing Address - Street 1:31000 LAHSER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4847
Mailing Address - Country:US
Mailing Address - Phone:248-647-0660
Mailing Address - Fax:248-647-5389
Practice Address - Street 1:31000 LAHSER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-4847
Practice Address - Country:US
Practice Address - Phone:248-647-0660
Practice Address - Fax:248-647-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036477207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty