Basic Information
| Provider Information | |||||||||
| NPI: | 1386671436 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALVAGE | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | HARRIS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 813 E GATE DR STE B | ||||||||
| Address2: | |||||||||
| City: | MOUNT LAUREL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080541238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8889852727 | ||||||||
| FaxNumber: | 8563942756 | ||||||||
| Practice Location | |||||||||
| Address1: | 2760 CENTURY BLVD STE 2 | ||||||||
| Address2: | |||||||||
| City: | WYOMISSING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196103359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103769607 | ||||||||
| FaxNumber: | 6103769662 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2006 | ||||||||
| LastUpdateDate: | 04/15/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 25MA06859100 | NJ | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | MD048442L | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00210395 | 01 | PA | RAILROAD MEDICARE | OTHER | 0141062 | 01 | PA | CIGNA | OTHER | 22-1994560 | 01 | PA | QUALCARE | OTHER | 23-2919275 | 01 | PA | UNITED HEALTHCARE/OXFORD | OTHER | 23-2919275 | 01 | PA | DEVON | OTHER | 0676444000 | 01 | PA | KEYSTONE HEALTH PLAN EAST | OTHER | 1201397 | 01 | NJ | AETNA | OTHER | 146710 | 01 | PA | UNISON | OTHER | 22-1994560 | 01 | PA | GREAT WEST HEALTHCARE | OTHER | 22-1994560 | 01 | NJ | FIRST MCO | OTHER | 22-1994560 | 01 | NJ | HORIZON BLUE CROSS BLUE SHIELD | OTHER | 23-2919275 | 01 | NJ | HORIZON BLUE CROSS BLUE SHIELD | OTHER | 23-2919275 | 01 | PA | QUALCARE | OTHER | 50059327 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 001646007 | 05 | PA | MEDICAID | 22-1994560 | 01 | NJ | UNITED HEALTHCARE/OXFORD | OTHER | 0676444000 | 01 | PA | IBC PRODUCTS | OTHER | 1162120 | 01 | PA | HORIZON MERCY | OTHER | 1770846 | 01 | NJ | AETNA | OTHER | 23-2919275 | 01 | PA | HEALTH AMERICA/HEALTH ASSURANCE | OTHER | 3801073 | 01 | PA | AETNA | OTHER | 424454 | 01 | PA | PA BLUE SHIELD | OTHER | 424454 | 01 | PA | PERSONAL CHOICE | OTHER | 50052989 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 050083449 | 01 | PA | RAILROAD MEDICARE | OTHER | 22-1994560 | 01 | PA | HEALTH AMERICA/HEALTH ASSURANCE | OTHER | 23-2919275 | 01 | PA | FIRST MCO | OTHER | 23-2919275 | 01 | NJ | UNITED HEALTHCARE | OTHER | 3006328 | 01 | PA | AETNA | OTHER | 1162120 | 01 | PA | KEYSTONE MERCY | OTHER | 22-1994560 | 01 | PA | UNITED HEALTHCARE/OXFORD | OTHER | 23-2919275 | 01 | PA | PROCURA MANAGEMENT | OTHER | 30013543 | 01 | PA | KEYSTONE MERCY | OTHER | 999456 | 01 | PA | UPMC HEALTH PLAN | OTHER | 22-1994560 | 01 | PA | DEVON | OTHER | 22-1994560 | 01 | PA | PROCURA MANAGEMENT | OTHER | 23-2919275 | 01 | PA | GREAT WEST HEALTHCARE | OTHER | 5616087 | 01 | PA | FIRST HEALTH NETWORK | OTHER |