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Organization

SALEM MEDICAL PROFESSIONALS PC

Active
Parent organization
SALEM MEDICAL PROFESSIONALS PC
Other names
Salem Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
SALEM MEDICAL PROFESSIONALS PC
Authorized official
BRIAN A PEOPLES (VP)
(615) 465-7585
Entity
Organization

Contact information

Practice address
310 WOODSTOWN RD, SALEM, NJ 08079-2064
(856) 935-1000
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(888) 801-5554

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NJ
207R00000X
Internal Medicine Physician
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
NJ
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207V00000X
Obstetrics & Gynecology Physician
NJ
208000000X
Pediatrics Physician
NJ
2084N0400X
Neurology Physician
NJ
208600000X
Surgery Physician
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095451
NJ
Enumeration date
08/10/2006
Last updated
10/03/2012
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