Organization
JERSEY SHORE WOMEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIDI SALLOUM (MANAGING MEMBER)
(732) 359-7060
Entity
Organization
Contact information
Practice address
1930 HWY 35 STE 3, WALL TOWNSHIP, NJ 07719-3538
(732) 359-7060
(732) 359-7058
Mailing address
1930 HWY 35 STE 3, WALL TOWNSHIP, NJ 07719-3538
(732) 359-7060
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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