Individual
TANVIR US SALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 MATTBEN DR, WARREN, NJ 07059-7142
(561) 419-3856
Mailing address
11 MATTBEN DR, WARREN, NJ 07059-7142
(561) 419-3856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071137A
IN
207R00000X
Internal Medicine Physician
2012-01639
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01071137A
IN
207RP1001X
Pulmonary Disease Physician
01071137A
IN
208M00000X
Hospitalist Physician
ME 108596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201296370
—
IN
01
—
259370099
IN MEDICARE
IN
05
—
5921773
—
NC
05
—
NC1737
—
SC
Enumeration date
04/19/2011
Last updated
07/12/2022
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