Healthcare Provider Details

I. General information

NPI: 1588605448
Provider Name (Legal Business Name): CARE ASSOCIATES OF SALEM COUNTY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 SHELL RD
CARNEYS POINT NJ
08069-2743
US

IV. Provider business mailing address

341 SHELL RD
CARNEYS POINT NJ
08069-2743
US

V. Phone/Fax

Practice location:
  • Phone: 856-299-4600
  • Fax: 856-299-1688
Mailing address:
  • Phone: 856-299-4600
  • Fax: 856-299-1688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD ELLIS
Title or Position: VP, FINANCE
Credential:
Phone: 302-623-7202