Individual
AGNES S. SALVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PALEY 1ST FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-6595
(215) 456-3436
Mailing address
101 E OLNEY AVE, SUITE 505, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD037721E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001125977
—
PA
Enumeration date
09/06/2006
Last updated
07/08/2007
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