Healthcare Provider Details

I. General information

NPI: 1689033789
Provider Name (Legal Business Name): SALVEO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E EVESHAM RD
VOORHEES NJ
08043-4501
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 TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

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