Organization
PEDIATRIC PULMONARY & ASTHMA ASSOCIATES OF SOUTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VITO SALVIA JR. D.O. (MANAGING PARTNER)
(609) 677-4566
Entity
Organization
Contact information
Practice address
1750 ZION RD, SUITE 107, NORTHFIELD, NJ 08225-1844
(609) 677-4566
(609) 677-6080
Mailing address
1750 ZION RD, SUITE 107, NORTHFIELD, NJ 08225-1844
(609) 677-4566
(609) 677-6080
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
25MB04424900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047465
—
NJ
01
—
1675149
AMERIHEALTH ADMINISTRATOR
NJ
01
—
2349831000
AMERIHEALTH
NJ
01
—
60009925
HORIZON NEW JERSEY HEALTH
NJ
Enumeration date
06/21/2006
Last updated
08/22/2020
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