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Individual

ALLEN JAY SALM

Active
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Individual

ALLEN JAY SALM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA05039900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000174823
IND BC PPO
NJ
01
0089230000
AMERIHEALTH HMO
NJ
05
1519808
NJ
01
290003536
RAILROAD MEDICARE
NJ
Enumeration date
10/25/2005
Last updated
01/30/2023
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