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Individual

DR. MICHAEL SALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 724-4380
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
274353
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
274353
MA

Other

Enumeration date
04/03/2014
Last updated
05/26/2022
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