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Organization
SALEM MEDICAL PROFESSIONALS, P.C.
Active
Organization
SALEM MEDICAL PROFESSIONALS, P.C.
Active
Parent organization
SALEM MEDICAL PROFESSIONALS, P.C.
Other names
South Jersey Family Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALEM MEDICAL PROFESSIONALS, P.C.
Authorized official
GARY D NEWSOME (PRESIDENT)
(616) 373-9600
Entity
Organization
Contact information
Practice address
499 BECKETT RD, LOGAN TOWNSHIP, NJ 08085-1766
(856) 241-2090
(856) 241-2099
Mailing address
PO BOX 504290, SAINT LOUIS, MO 63150-0001
(856) 241-2090
(856) 241-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
207R00000X
Internal Medicine Physician
—
NJ
207V00000X
Obstetrics & Gynecology Physician
—
NJ
208000000X
Pediatrics Physician
—
NJ
2084N0400X
Neurology Physician
—
NJ
Other
Enumeration date
08/29/2006
Last updated
07/21/2022
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