Organization
FORTEMD-NJSSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM B SALISU MD (CHIEF OPERATING OFFICER)
(240) 338-6901
Entity
Organization
Contact information
Practice address
108 WATCHUNG AVE UNIT 147, PLAINFIELD, NJ 07060-1251
(973) 200-4695
(223) 213-2057
Mailing address
108 WATCHUNG AVE UNIT 147, PLAINFIELD, NJ 07060-1251
(973) 200-4695
(223) 213-2057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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