Individual
RONALD R SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519
(203) 785-3577
(203) 737-4067
Mailing address
PO BOX 9805, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
030698
CT
2086X0206X
Surgical Oncology Physician
Primary
030698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001306986
—
CT
Enumeration date
11/09/2005
Last updated
12/03/2007
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