Elie Salloum
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104737147
StatusActive
Last updated in NPPESSep 16, 2026
Details
- NPI
- 1104737147
- Entity type
- Individual (NPI-1)
- Name
- Elie Salloum
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2026
- Certification date
- Sep 16, 2026
- Last updated
- Sep 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
240 S 40th StPhiladelphia, PA 19104-6030
Phone 215-573-2588
Mailing address
240 South 40th StreetOffice Of Clinical Affairs-S6a Evans
Philadelphia, PA 19104
Phone 215-573-2588
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All 4,293 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All 53,595 providers in Philadelphia
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