Most Relevant Information
Provider Data
| NPI Number: | 1003435884 |
| Provider Name: | CHELSEA TIFFANY SALAS-TAM |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD480194 |
Most Important Dates
| Enumeration Date: | 04/13/2020 |
| Last Updated: | 08/22/2024 |
Provider Practice Location
861 E ALLEGHENY AVE
PHILADELPHIA
PA
191342401
Practice Location Phone/Fax
| Phone: | 2153023600 |
| Fax: |
Provider Mailing Location
4417 N 6TH ST
PHILADELPHIA
PA
191402319
Provider Mailing Phone/Fax
| Phone: | 2153023600 |
| Fax: |
Suggested EMR
Family Practice EMR