Organization
SENIOR HEALTHCARE OUTREACH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER G SALERNO MD (OWNER)
(973) 672-8573
Entity
Organization
Contact information
Practice address
613 PARK AVE FL 1, EAST ORANGE, NJ 07017-1905
(973) 556-0955
(973) 675-0040
Mailing address
523 PARK AVE, ORANGE, NJ 07050-1703
(973) 556-0955
(973) 675-0040
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089273
—
NJ
Enumeration date
02/15/2007
Last updated
03/31/2025
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