Basic Information
| Provider Information | |||||||||
| NPI: | 1073695458 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALVO | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 833 CHESTNUT ST STE 520 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
| FaxNumber: | 2673393761 | ||||||||
| Practice Location | |||||||||
| Address1: | 999 ROUTE 73 N STE 401 | ||||||||
| Address2: | |||||||||
| City: | MARLTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080531227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
| FaxNumber: | 2674791321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 02/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD060968L | PA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 307394 | NY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | ME152677 | FL | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 25MA07126700 | NJ | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 38642 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 3227767 | 01 | NJ | AETNA | OTHER | 4679654 | 01 | NJ | CIGNA | OTHER | 693476 | 01 | PA | PA BS HIGHMARK | OTHER | 1173137 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 8607702 | 05 | NJ | MEDICAID | P2902750 | 01 | NJ | OXFORD | OTHER | 010005373 | 01 | NJ | AMERICHOICE | OTHER | 0584552000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 0584552000 | 01 | PA | KESTONE/IBC | OTHER | 3149157 | 01 | NJ | AETNA | OTHER | 3K5449 | 01 | NJ | HEALTHNET | OTHER | 501292 | 01 | NJ | AMERIHEALTH PPO/ PA BS | OTHER | 200046355 | 01 | NJ | RR MEDICARE | OTHER | 2165213 | 01 | NJ | UNITED HEALTHCARE | OTHER |