MEDICARE: CARE ASSOCIATES OF SALEM COUNTY PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588605448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE ASSOCIATES OF SALEM COUNTY PC

Provider Business Mailing Address
First Line	:	341 SHELL RD
Second Line	:
City	:	CARNEYS POINT
State	:	NJ
Zip	:	08069-2743
Country	:	US
Telephone Number	:	856-299-4600
Fax Number	:	856-299-1688

Provider Business Practice Location Address
First Line	:	341 SHELL RD
Second Line	:
City	:	CARNEYS POINT
State	:	NJ
Zip	:	08069-2743
Country	:	US
Telephone Number	:	856-299-4600
Fax Number	:	856-299-1688

Authorized Official
Title or Position	:	VP, FINANCE
Name	:	MR. RICHARD ELLIS
Credential	:
Telephone Number	:	302-623-7202

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	08/22/2020

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