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Organization

BLACK CREEK MEDICAL LLC

Active
Find providers by NPI
Organization

BLACK CREEK MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SALERNO MD (OWNER)
(914) 376-6100
Entity
Organization

Contact information

Practice address
46 N CENTRAL AVE, RAMSEY, NJ 07446-1864
(914) 376-6100
(914) 470-5056
Mailing address
PO BOX 648, MILFORD, DE 19963-0648
(914) 376-6100
(914) 470-5056

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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