Provider Demographics
NPI:1881885333
Name:HAYMAN SALIB MD PC
Entity type:Organization
Organization Name:HAYMAN SALIB MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-330-2630
Mailing Address - Street 1:3465 NAZARETH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8332
Mailing Address - Country:US
Mailing Address - Phone:610-330-2630
Mailing Address - Fax:610-330-2632
Practice Address - Street 1:3465 NAZARETH RD STE 102
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8359
Practice Address - Country:US
Practice Address - Phone:610-330-2630
Practice Address - Fax:610-330-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053781L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017572490002Medicaid
PA115099Medicare PIN
PAG00504Medicare UPIN
NJ037445Medicare PIN
NJ115099Medicare PIN
PA7275550001Medicare NSC
PA027445Medicare PIN