Individual
ANDRES SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3621 LIGON RD, ELLICOTT CITY, MD 21042-5238
(410) 486-1500
Mailing address
3621 LIGON RD, ELLICOTT CITY, MD 21042-5238
(410) 750-7954
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D0051051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692900100
—
MD
Enumeration date
12/14/2006
Last updated
07/26/2018
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