MEDICARE: MR. AYLMER SALOMON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01258600	NJ

General Provider Information

NPI Number	:	1386839926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AYLMER SALOMON PT, DPT

Provider Business Mailing Address
First Line	:	7040 RIDGE AVE
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5853
Country	:	US
Telephone Number	:	973-985-4074
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 N MAIN ST
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2121
Country	:	US
Telephone Number	:	609-536-4995
Fax Number	:	609-478-2082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	03/11/2019

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