Individual
MR. SALVATORE SCIURBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 ROUTE 35 STE 200, MIDDLETOWN, NJ 07748-2606
(800) 337-6663
Mailing address
200 BARR HARBOR DR, FOUR TOWER BRIDGE, SUITE 200, WEST CONSHOHOCKEN, PA 19428-4979
(848) 240-2812
(732) 731-6135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MP00131900
NJ
363A00000X
Physician Assistant
Primary
25MP00131900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320517
AMERICAID/AMERIGROUP
NJ
01
—
3K5461
HEALTHNET
NJ
01
—
7149264
AETNA HMO
NJ
01
—
9301227
AETNA PPO
NJ
Enumeration date
05/10/2006
Last updated
11/17/2016
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