MEDICARE: THE ARC OF SALEM COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1417762535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF SALEM COUNTY

Provider Business Mailing Address
First Line	:	P. O. BOX 5
Second Line	:
City	:	SALEM
State	:	NJ
Zip	:	08079
Country	:	US
Telephone Number	:	856-935-3600
Fax Number	:	856-935-9612

Provider Business Practice Location Address
First Line	:	24 MARLTON ST
Second Line	:
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1230
Country	:	US
Telephone Number	:	856-935-3600
Fax Number	:	856-935-9612

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	PATRICIA LOUISE IRWIN
Credential	:
Telephone Number	:	856-935-3600

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	02/07/2025

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Directions to “THE ARC OF SALEM COUNTY ” Practice Location

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