Individual
DR. JONATHAN R SALIK
Active
Individual
DR. JONATHAN R SALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHPED
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
274083
MA
207RC0000X
Cardiovascular Disease Physician
Primary
274083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274083
MASSACHUSETTS STATE MEDICAL LICENSE
MA
01
—
MS1136832A
MCSR NUMBER
MA
Enumeration date
05/26/2015
Last updated
03/07/2023
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