Individual
MR. SALVATORE DESIMONE
Active
Individual
MR. SALVATORE DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0S007669L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001574534004
—
PA
01
—
0573185000
KEYSTONE EAST
PA
01
—
1040332
AMERIHEALTH
PA
01
—
10871
HEALTHGUARD
PA
01
—
180028017
RAILROAD MEDICARE
PA
01
—
27541
HEALTH AMERICA
PA
01
—
576732
AETNA
PA
01
—
730706
HIGHMARK BLUE SHIELD
PA
01
—
7990026
GATEWAY
PA
01
—
990026
KEYSTONE HEALTH PLAN L
PA
Enumeration date
06/08/2005
Last updated
02/07/2008
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