Provider Demographics
NPI:1770541781
Name:SALTZMAN, STEPHEN J (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 ESSEX CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2926
Mailing Address - Country:US
Mailing Address - Phone:978-532-2800
Mailing Address - Fax:978-977-4491
Practice Address - Street 1:2 ESSEX CENTER DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2926
Practice Address - Country:US
Practice Address - Phone:978-532-2800
Practice Address - Fax:978-977-4491
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA34646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0016139OtherNEIGHBORHOOD HEALTH
MA034646OtherTUFTS
MA3214516OtherAETNA
MAD21003OtherBLUE CROSS
MA3123456Medicaid
MA9210924-001OtherCIGNA
MA64453OtherHARVARD PILGRIM
MA3123456Medicaid
MA9210924-001OtherCIGNA