Organization
BLACK CREEK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SALERNO MD (OWNER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
46 N CENTRAL AVE, RAMSEY, NJ 07446-1864
(914) 376-6100
(914) 470-5056
Mailing address
PO BOX 648, MILFORD, DE 19963-0648
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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