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Organization
SUSAN L. SALAK, D.P.M., P.C.
Active
Organization
SUSAN L. SALAK, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L. SALAK, D.P.M., P.C. D.P.M. (PODIATRIST)
(570) 823-0187
Entity
Organization
Contact information
Practice address
34 S MAIN ST, SUITE 9, WILKES BARRE, PA 18701-1723
(570) 823-0187
(570) 823-0188
Mailing address
34 S MAIN ST, SUITE 9, WILKES BARRE, PA 18701-1723
(570) 823-0187
(570) 823-0188
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003648L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014528270005
—
PA
01
—
803141
HMO
PA
01
—
SA1626367
BLUE SHIELD
PA
Enumeration date
10/23/2006
Last updated
01/31/2008
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