Healthcare Provider Details

I. General information

NPI: 1902368335
Provider Name (Legal Business Name): SALVEO WEIGHT MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E EVESHAM RD STE 111
VOORHEES NJ
08043-4504
US

IV. Provider business mailing address

2301 E EVESHAM RD STE 111
VOORHEES NJ
08043-4504
US

V. Phone/Fax

Practice location:
  • Phone: 856-861-6320
  • Fax: 856-888-2640
Mailing address:
  • Phone: 856-861-6320
  • Fax: 856-888-2640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VB0002X
TaxonomyObesity Medicine (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUZANNE MACKEY
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 856-861-6320