Individual
DR. NICHOLAS R. SALERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-5151
Mailing address
26 DENISON AVE, MYSTIC, CT 06355-2810
(860) 205-3461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
015516
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010015516CT07
ANTHEM BC/BS
CT
01
—
A2516306
OXFORD
CT
Enumeration date
12/20/2005
Last updated
07/08/2007
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