# PEDIATRIC PULMONARY & ASTHMA ASSOCIATES OF SOUTH JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093751588
- **Authorized official:** DR. JOSEPH VITO SALVIA JR. D.O. (MANAGING PARTNER)
- **Authorized official phone:** (609) 677-4566

## Contact information

- **Practice address:** 1750 ZION RD, SUITE 107, NORTHFIELD, NJ 08225-1844
- **Practice address phone:** (609) 677-4566
- **Practice address fax:** (609) 677-6080
- **Mailing address:** 1750 ZION RD, SUITE 107, NORTHFIELD, NJ 08225-1844
- **Mailing address phone:** (609) 677-4566
- **Mailing address fax:** (609) 677-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | 25MB04424900 | NJ | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/22/2020
