Organization
SALEM CLINIC CORP
Active
Other names
Children's Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D NEWSOME (PRESIDENT)
(616) 373-9600
Entity
Organization
Contact information
Practice address
4 BYPASS ROAD, SUITE 101, SALEM, NJ 08079
(856) 935-3582
(856) 935-4382
Mailing address
4 BYPASS ROAD, SUITE 101, SALEM, NJ 08079
(856) 935-3582
(856) 935-4382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996105
—
NJ
Enumeration date
07/27/2005
Last updated
07/21/2022
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