Organization
GARDEN STATE PULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN J SALM MD (PRESIDENT)
(856) 596-9057
Entity
Organization
Contact information
Practice address
520 LIPPINCOTT DR, MARLTON, NJ 08053-4804
(856) 596-9057
(856) 596-0837
Mailing address
520 LIPPINCOTT DR, MARLTON, NJ 08053-4804
(856) 596-9057
(856) 596-0837
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038294
AETNA
NJ
01
—
0116035000
AMERIHEALTH HMO
NJ
05
—
3361900
—
NJ
01
—
B7268
RAILROAD MEDICARE
NJ
Enumeration date
05/22/2006
Last updated
08/22/2020
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