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Organization

SALEM MEDICAL PROFESSIONALS, PC

Active
Parent organization
SALEM MEDICAL PROVESSIONALS, PC
Other names
Children's Healthcare Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SALEM MEDICAL PROVESSIONALS, PC
Authorized official
GARY D NEWSOME (PRESDIENT)
(616) 373-9600
Entity
Organization

Contact information

Practice address
4 BY PASS RD, SUITE 101, SALEM, NJ 08079-2053
(856) 935-3285
(856) 935-4382
Mailing address
PO BOX 504290, SAINT LOUIS, MO 63150-0001
(856) 935-3285
(856) 935-4382

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NJ

Other

Enumeration date
08/14/2006
Last updated
07/21/2022
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