Individual
MR. SALVATORE DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
Mailing address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
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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