Individual
MISS ALICIA ANN SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1275 SUMMER ST., SUITE 301, STAMFORD, CT 06905
(203) 324-4109
(203) 969-1271
Mailing address
1275 SUMMER ST., SUITE 301, STAMFORD, CT 06905
(203) 324-4109
(203) 969-1271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056487
CT
208000000X
Pediatrics Physician
25MB09315100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2010
Last updated
08/02/2024
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