Doctor Name: | ALBERT GEORGE SALOOM |
NPI Number: | 1720043847 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD026894L |
Business Practice Address: | 103 Market St Scottdale, PA - 156892704 |
Business Phone Number: | 7248875673 |
Business Fax Number: | 7248060165 |
Mailing Address: | 103 Market St, SCOTTDALE |
State: | PA |
Postal Code: | 156892704 |
Phone Number: | 7248875673 |
Fax Number: | 7248060165 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD026894L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |