Individual
DR. MARK ANTHONY SALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 CAMBRIDGE ST, 5TH FLOOR, BOSTON, MA 02114-2743
(617) 724-2561
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-8705
(617) 643-2384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
212694
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
212694
MA
Other
Enumeration date
10/28/2005
Last updated
09/14/2012
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