Healthcare Provider Details

I. General information

NPI: 1245271162
Provider Name (Legal Business Name): CARE ASSOCIATES OF SALEM COUNTY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 EAST AVE SUITE C
WOODSTOWN NJ
08098-1351
US

IV. Provider business mailing address

187 EAST AVE
WOODSTOWN NJ
08098-1338
US

V. Phone/Fax

Practice location:
  • Phone: 856-769-2800
  • Fax: 856-769-4256
Mailing address:
  • Phone: 856-769-2800
  • Fax: 856-769-4256

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: DAVID BAUMAN
Title or Position: MD
Credential: MD
Phone: 856-769-2800