Provider Demographics
NPI:1902965262
Name:SALTER, FREDRIC L (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:FREDRIC
Middle Name:L
Last Name:SALTER
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
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Mailing Address - Street 1:3570 SAINT JOHNS LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4020
Mailing Address - Country:US
Mailing Address - Phone:410-461-9500
Mailing Address - Fax:410-461-8945
Practice Address - Street 1:3570 SAINT JOHNS LN
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4020
Practice Address - Country:US
Practice Address - Phone:410-461-9500
Practice Address - Fax:410-461-8945
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD16795207X00000X
VA0101040980207X00000X
MDD35161207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery