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Organization
SALEM PHYSICIAN PRACTICES, P.C.
Active
Organization
SALEM PHYSICIAN PRACTICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J. COLGAN (AUTHORIZED OFFICIAL)
(973) 429-7900
Entity
Organization
Contact information
Practice address
310 WOODSTOWN ROAD, SALEM, NJ 08079-2064
(856) 935-1000
(856) 935-3175
Mailing address
2 BROAD ST, BLOOMFIELD, NJ 07003-2547
(856) 935-1000
(856) 935-3175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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