Individual
MICHAEL ENDRODI SALACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CENTENNIAL BLVD BLDG 1, VOORHEES, NJ 08043-4637
(855) 632-2667
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10982500
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA10982500
NJ
207RX0202X
Medical Oncology Physician
Primary
25MA10982500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235178872
—
MO
05
—
200574980C
—
KS
05
—
200574980D
—
KS
Enumeration date
06/06/2006
Last updated
04/09/2024
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