Provider Demographics
| NPI: | 1386671436 |
|---|---|
| Name: | SALVAGE, ROBERT HARRIS (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | ROBERT |
| Middle Name: | HARRIS |
| Last Name: | SALVAGE |
| 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: | 813 E GATE DR STE B |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MOUNT LAUREL |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08054-1238 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 888-985-2727 |
| Mailing Address - Fax: | 856-394-2756 |
| Practice Address - Street 1: | 2760 CENTURY BLVD STE 2 |
| Practice Address - Street 2: | |
| Practice Address - City: | WYOMISSING |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19610-3359 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 610-376-9607 |
| Practice Address - Fax: | 610-376-9662 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-06-26 |
| Last Update Date: | 2020-04-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | 25MA06859100 | 207LP2900X |
| PA | MD048442L | 207LP2900X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | P00210395 | Other | RAILROAD MEDICARE |
| PA | 0141062 | Other | CIGNA |
| PA | 22-1994560 | Other | QUALCARE |
| PA | 23-2919275 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 23-2919275 | Other | DEVON |
| PA | 0676444000 | Other | KEYSTONE HEALTH PLAN EAST |
| NJ | 1201397 | Other | AETNA |
| PA | 146710 | Other | UNISON |
| PA | 22-1994560 | Other | GREAT WEST HEALTHCARE |
| NJ | 22-1994560 | Other | FIRST MCO |
| NJ | 22-1994560 | Other | HORIZON BLUE CROSS BLUE SHIELD |
| NJ | 23-2919275 | Other | HORIZON BLUE CROSS BLUE SHIELD |
| PA | 23-2919275 | Other | QUALCARE |
| PA | 50059327 | Other | CAPITAL BLUE CROSS |
| PA | 001646007 | Medicaid | |
| NJ | 22-1994560 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 0676444000 | Other | IBC PRODUCTS |
| PA | 1162120 | Other | HORIZON MERCY |
| NJ | 1770846 | Other | AETNA |
| PA | 23-2919275 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| PA | 3801073 | Other | AETNA |
| PA | 424454 | Other | PA BLUE SHIELD |
| PA | 424454 | Other | PERSONAL CHOICE |
| PA | 50052989 | Other | CAPITAL BLUE CROSS |
| PA | 050083449 | Other | RAILROAD MEDICARE |
| PA | 22-1994560 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| PA | 23-2919275 | Other | FIRST MCO |
| NJ | 23-2919275 | Other | UNITED HEALTHCARE |
| PA | 3006328 | Other | AETNA |
| PA | 1162120 | Other | KEYSTONE MERCY |
| PA | 22-1994560 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 23-2919275 | Other | PROCURA MANAGEMENT |
| PA | 30013543 | Other | KEYSTONE MERCY |
| PA | 999456 | Other | UPMC HEALTH PLAN |
| PA | 22-1994560 | Other | DEVON |
| PA | 22-1994560 | Other | PROCURA MANAGEMENT |
| PA | 23-2919275 | Other | GREAT WEST HEALTHCARE |
| PA | 5616087 | Other | FIRST HEALTH NETWORK |
| PA | 0676444000 | Other | IBC PRODUCTS |
| PA | 22-1994560 | Other | UNITED HEALTHCARE/OXFORD |
| NJ | 23-2919275 | Other | UNITED HEALTHCARE |
| PA | 23-2919275 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| NJ | 167956RUZ | Medicare PIN | |
| PA | 30013543 | Other | KEYSTONE MERCY |
| PA | 146710 | Other | UNISON |
| PA | 22-1994560 | Other | GREAT WEST HEALTHCARE |
| PA | 23-2919275 | Other | QUALCARE |
| PA | 424454 | Medicare ID - Type Unspecified | |
| NJ | 022927RVB | Medicare PIN | |
| NJ | 022927RUZ | Medicare PIN |
