Organization
SALVATORE P. SIDOTI, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE PATRICK SIDOTI (OWNER)
(440) 884-4114
Entity
Organization
Contact information
Practice address
6681 RIDGE RD, SUITE 405, PARMA, OH 44129-5705
(440) 884-4114
(440) 884-7661
Mailing address
6681 RIDGE RD, SUITE 405, PARMA, OH 44129-5705
(440) 884-4114
(440) 884-7661
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167680
ANTHEM
OH
01
—
1367002
UNITED MINEWORKERS
OH
05
—
2776036
—
OH
Enumeration date
07/16/2006
Last updated
09/25/2008
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