Provider Demographics
NPI:1245283399
Name:SALERNO, JOSEPH J (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:SALERNO
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 LADSON RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4304
Mailing Address - Country:US
Mailing Address - Phone:843-797-7700
Mailing Address - Fax:843-797-1271
Practice Address - Street 1:3601 LADSON RD STE 100
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-4304
Practice Address - Country:US
Practice Address - Phone:843-797-7700
Practice Address - Fax:843-797-1271
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17622207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC17622OtherLICENSE #
SCPA4833Medicaid
SCAS1781271OtherDEA #
SCB87419Medicare UPIN
SC2234Medicare ID - Type UnspecifiedGROUP #