Individual
CHELSEA TIFFANY SALAS-TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 N 5TH ST, PHILADELPHIA, PA 19133-2801
(215) 302-3600
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD480194
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD480194
PA
Other
Enumeration date
04/13/2020
Last updated
01/17/2025
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