Individual
FORTUNATA SANTOS SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 VILLAGE GATE ROAD, WASHINGTON, NJ 07882
(908) 689-1946
(908) 689-1946
Mailing address
11 VILLAGE GATE ROAD, WASHINGTON, NJ 07882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02287900
NJ
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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