Doctor Name: | DR. CHRISTINE CLAIRE SALONGA |
NPI Number: | 1073666590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 000819 |
Business Practice Address: | 950 Campbell Ave West Haven, CT - 065162770 |
Business Phone Number: | 2039325711 |
Business Fax Number: | |
Mailing Address: | 535 B Woodward Ave, NEW HAVEN |
State: | CT |
Postal Code: | 06512 |
Phone Number: | 2034687984 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 000819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |