Organization
SALEM CLINIC CORP
Active
Other names
South Jersey Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D NEWSOME (PRESIDENT)
(615) 373-9600
Entity
Organization
Contact information
Practice address
499 BECKETT RD, SUITE 202, LOGAN TOWNSHIP, NJ 08085-1766
(856) 241-2090
(856) 241-2099
Mailing address
499 BECKETT RD, SUITE 202, LOGAN TOWNSHIP, NJ 08085-1766
(856) 241-2090
(856) 241-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211601
—
NJ
Enumeration date
07/26/2005
Last updated
09/11/2025
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