Individual
MRS. AIXELL JOSEFINA MERCEDES SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2807
(856) 228-1061
(856) 228-1907
Mailing address
535 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2807
(856) 228-1061
(856) 228-1907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA09217100
NJ
208000000X
Pediatrics Physician
Primary
25MA09217100
NJ
Other
Enumeration date
05/23/2007
Last updated
03/17/2018
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