Organization
SALEM PULMONARY, CRITICAL CARE AND SLEEP MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P VISCO M.D. (PRESIDENT AND SOLE MEMBER)
(267) 784-5459
Entity
Organization
Contact information
Practice address
18 LANSBROOK CT, SEWELL, NJ 08080-4113
(267) 784-5459
Mailing address
18 LANSBROOK CT, SEWELL, NJ 08080-4113
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA08353400
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA08353400
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA08353400
NJ
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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