Basic Information
Provider Information
NPI: 1881984656
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALFITY
FirstName: JOSEPH
MiddleName: JAMIL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 636256
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452636526
CountryCode: US
TelephoneNumber: 5135855506
FaxNumber:  
Practice Location
Address1: 222 PIEDMONT AVE STE 5200
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452194222
CountryCode: US
TelephoneNumber: 5135583700
FaxNumber: 5134758247
Other Information
ProviderEnumerationDate: 04/14/2011
LastUpdateDate: 11/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0129X35.142463OHY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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