Individual
DR. OMAR S SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4848 HOLLAND SYLVANIA ROAD, 201, SYLVANIA, OH 43560
(419) 885-1230
(419) 882-6027
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 885-1230
(419) 882-6027
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35050179
OH
207ND0900X
Dermatopathology Physician
Primary
35050179
OH
207NS0135X
Procedural Dermatology Physician
35-05-0179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595842
—
OH
01
—
070001227
RAILROAD MEDICARE
OH
Enumeration date
07/18/2005
Last updated
03/28/2012
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