# LIFEFORCE MEDICAL NJ PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeforce Medical NJ PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265310734
- **Authorized official:** RENEE SALGADO (SR. CREDENTIALING REP.)
- **Authorized official phone:** (702) 417-6265

## Contact information

- **Practice address:** 103 ROUTE 70 E STE 2, MARLTON, NJ 08053-1890
- **Practice address phone:** (855) 656-1266
- **Mailing address:** PO BOX 85, LOS ALTOS, CA 94023-0085
- **Mailing address phone:** (855) 656-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2025
- **Last updated:** 08/23/2025