Provider Demographics
NPI:1770563025
Name:SALOMON, DAVID S (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:SALOMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:228 BILLERICA RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3604
Mailing Address - Country:US
Mailing Address - Phone:978-250-6300
Mailing Address - Fax:978-250-6335
Practice Address - Street 1:228 BILLERICA RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3604
Practice Address - Country:US
Practice Address - Phone:978-250-6300
Practice Address - Fax:978-250-6335
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2021-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA45937208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0015162OtherNEIGHBORHOOD HEALTH
MA045937OtherTUFTS
MAE33014OtherBLUE CROSS
MA8627662-004OtherCIGNA
MAPP516OtherHARVARD PILGRIM
MA0134996Medicaid
MA0134996Medicaid
MAE33014OtherBLUE CROSS