Basic Information
Provider Information
NPI: 1750694618
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALDANHA
FirstName: JENNIFER
MiddleName: DANNIEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2315 MYRTLE ST STE 290
Address2: GENS, ALLEGHENY HEALTH NETWORK
City: ERIE
State: PA
PostalCode: 165024602
CountryCode: US
TelephoneNumber: 8144541142
FaxNumber: 8144541255
Practice Location
Address1: 2315 MYRTLE ST STE 290
Address2: GENS, ALLEGHENY HEALTH NETWORK
City: ERIE
State: PA
PostalCode: 165024602
CountryCode: US
TelephoneNumber: 8144541142
FaxNumber: 8144541255
Other Information
ProviderEnumerationDate: 07/21/2010
LastUpdateDate: 11/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XAS22959042798WVN Allopathic & Osteopathic PhysiciansSurgery 
390200000XMT196835PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
208600000XMD457783PAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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