Provider Demographics
NPI:1144328642
Name:VELLA, SALVATORE JOSEPH JR (DO)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:JOSEPH
Last Name:VELLA
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:280 MAIN ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2919
Mailing Address - Country:US
Mailing Address - Phone:603-577-3300
Mailing Address - Fax:603-577-3398
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2919
Practice Address - Country:US
Practice Address - Phone:603-577-3300
Practice Address - Fax:603-577-3398
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NH10349207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHG77035Medicare UPIN