Antoine Salloum, MD | |
102 Valley Rd, Middletown, RI 02842-5237 | |
(401) 239-1800 | |
Not Available |
Full Name | Antoine Salloum |
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Gender | Male |
Speciality | Dermatology |
Location | 102 Valley Rd, Middletown, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134790157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD19412 (Rhode Island) | Primary |
207R00000X | Internal Medicine | LP05421 (Rhode Island) | Secondary |
Entity Name | Aspire Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700176849 PECOS PAC ID: 1759550643 Enrollment ID: O20110810000388 |
Mailing Address | Practice Location Address |
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Antoine Salloum, MD 102 Valley Rd, Middletown, RI 02842-5237 Ph: (401) 239-1800 | Antoine Salloum, MD 102 Valley Rd, Middletown, RI 02842-5237 Ph: (401) 239-1800 |
Tal Buntinx, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Valley Rd, Middletown, RI 02842 Phone: 401-239-1800 Fax: 401-239-1801 | |
Ashley Juliette Ferreira, FNP-BC Dermatology Medicare: Not Enrolled in Medicare Practice Location: 102 Valley Rd, Middletown, RI 02842 Phone: 401-239-1800 | |
Jayla Beth Gray, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Valley Rd, Middletown, RI 02842 Phone: 401-239-1800 Fax: 401-239-1801 | |
Jason Michaels, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Valley Road, Middletown, RI 02842 Phone: 401-239-1800 Fax: 401-239-1801 | |
Dr. Sarah Elizabeth Belden, D.O Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Valley Rd, Middletown, RI 02842 Phone: 401-239-1800 Fax: 401-239-1801 | |
Dr. Victoria Lee Comeau, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Valley Rd, Middletown, RI 02842 Phone: 401-239-1800 Fax: 401-239-1801 |