Healthcare Provider Details

I. General information

NPI: 1467466037
Provider Name (Legal Business Name): CAPE ASSOCIATES IN SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 12/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE NJ
08210-1967
US

IV. Provider business mailing address

8 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE NJ
08210-1967
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-3939
  • Fax: 609-465-4042
Mailing address:
  • Phone: 609-465-3939
  • Fax: 609-465-4042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number25MA03080500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA03080500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number25MA03080500
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number25MA03080500
License Number StateNJ

VIII. Authorized Official

Name: ROBERT I SALASIN
Title or Position: PRESIDENT
Credential: MD
Phone: 609-465-3939