Individual
JOHN AVERY SALVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1703 S BROAD ST, STE 300, PHILA, PA 19148-1536
(215) 462-7100
(215) 463-3820
Mailing address
1 MEDICAL CENTER BLVD, STE 300, CHESTER, PA 19013-3902
(610) 447-2000
(610) 447-6606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001143L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA001143L
LICENSE NUMBER
PA
Enumeration date
02/15/2007
Last updated
04/06/2016
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