Individual
ANDREW SALLAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 657-7458
(717) 657-7555
Mailing address
2620 OLD ORCHARD RD, LANCASTER, PA 17601-5320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS022379
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
11/29/2024
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