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NPI Code Detail

MEDICARE: JOHN A SALERNO PHD

MEDICARE:   JOHN A SALERNO  PHD
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
1104100000XSocial Worker44SC01012000NJ

General Provider Information

NPI Number : 1497729305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN A SALERNO PHD
Provider Business Mailing Address
First Line : 56 SOUTH MAIN ST
Second Line : STE A
City : STOCKTON
State : NJ
Zip : 08559
Country : US
Telephone Number : 609-397-8585
Fax Number : 609-397-1907
Provider Business Practice Location Address
First Line : 56 SOUTH MAIN ST
Second Line : STE A
City : STOCKTON
State : NJ
Zip : 08559
Country : US
Telephone Number : 609-397-8585
Fax Number : 609-397-1907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 11/07/2007

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Directions to “ JOHN A SALERNO PHD” Practice Location

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