NPI 1811041528 · live from the CMS NPI Registry
Andres Salazar P A
Family Medicine, Geriatric Medicine in Ellicott City, MD. National Provider Identifier 1811041528, active.
NPI record
| NPI | 1811041528 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 3621 Ligon Rd, Ellicott City, MD 21042 |
| Practice phone | 410-530-0454 |
| Enumerated | January 22, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Andres Salazar, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Geriatric Medicine primary | 207QG0300X | D0051051 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.