# SHALOM MEDICAL INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417318635
- **Authorized official:** ADETUJNI ADEJUMO (OWNER)
- **Authorized official phone:** (718) 530-8357

## Contact information

- **Practice address:** 977 GREEN RIDGE DR, DE PERE, WI 54115-7656
- **Practice address phone:** (718) 530-8357
- **Practice address fax:** (920) 328-9050
- **Mailing address:** 977 GREEN RIDGE DR, DE PERE, WI 54115-7656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2016
- **Last updated:** 03/15/2016