Individual
DR. CHARLENE RAE SALOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
208 S. ARCH STREET, CONNELLSVILLE, PA 15425-3519
(724) 626-2630
(724) 626-2655
Mailing address
1070 OLD NATIONAL PIKE RD, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440037
—
PA
05
—
101706672
—
PA
Enumeration date
07/14/2006
Last updated
09/27/2011
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