Individual
DR. STEPHEN L SALCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 BOARDMAN CANFIELD RD, P-2, BOARDMAN, OH 44512-4300
(330) 758-7084
(330) 758-2099
Mailing address
755 BOARDMAN CANFIELD RD, P-2, BOARDMAN, OH 44512-4300
(330) 758-7084
(330) 758-2099
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
56229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134251
ANTHEM
OH
01
—
001716140
HIGHMARK
OH
01
—
070002214
MEDICARE R.R.
OH
05
—
0713400
—
OH
01
—
071340013
TOTAL HEALTHCARE
OH
01
—
1546401
GATEWAY HMO
OH
01
—
220720
COVENTRY HEALTH
OH
01
—
32126
HEALTH AMERICA
OH
01
—
341570956
MEDICAL MUTUAL
OH
01
—
4257781
AETNA
OH
01
—
6632038
CIGNA
OH
01
—
996010852
PRM
OH
Enumeration date
11/09/2005
Last updated
07/24/2010
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