# SALVATORE P. SIDOTI, DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306863238
- **Authorized official:** SALVATORE PATRICK SIDOTI (OWNER)
- **Authorized official phone:** (440) 884-4114

## Contact information

- **Practice address:** 6681 RIDGE RD, SUITE 405, PARMA, OH 44129-5705
- **Practice address phone:** (440) 884-4114
- **Practice address fax:** (440) 884-7661
- **Mailing address:** 6681 RIDGE RD, SUITE 405, PARMA, OH 44129-5705
- **Mailing address phone:** (440) 884-4114
- **Mailing address fax:** (440) 884-7661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.002376 | OH | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000167680 | ANTHEM | OH |
| 01 | — | 1367002 | UNITED MINEWORKERS | OH |
| 05 | — | 2776036 | — | OH |