Doctor Name: | KRISTINA SALVATI |
NPI Number: | 1154520401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 25MP00182300 |
Business Practice Address: | 4248 Harbour Beach Blvd Brigantine, NJ - 082031361 |
Business Phone Number: | 6092660400 |
Business Fax Number: | 6099483047 |
Mailing Address: | 45 White Pond Ct, GALLOWAY |
State: | NJ |
Postal Code: | 082059596 |
Phone Number: | 7323434054 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00182300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |