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Organization

SALUS OB GYN ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRINAL KOUL MD (OWNER)
(908) 490-0036
Entity
Organization

Contact information

Practice address
341 WALNUT ST, NEWARK, NJ 07105-2611
(973) 589-8800
(973) 589-8802
Mailing address
PO BOX 5604, CLARK, NJ 07066-5604
(973) 589-8800
(973) 589-8802

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07786800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA07786800
LIC
01
DO8587700
CDS
Enumeration date
02/14/2007
Last updated
03/07/2023
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