MEDICARE: ALLEN JAY SALM MD

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	207RP1001X	Pulmonary Disease Physician	25MA05039900	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290003536	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0089230000	OTHER	NJ	AMERIHEALTH HMO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000174823	OTHER	NJ	IND BC PPO

General Provider Information

NPI Number	:	1710977392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN JAY SALM MD

Provider Business Mailing Address
First Line	:	22 INSKEEP CT
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-4404
Country	:	US
Telephone Number	:	609-471-4439
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 ROUTE 70 E STE B
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-1855
Country	:	US
Telephone Number	:	856-596-9057
Fax Number	:	856-596-0837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	01/30/2023

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Directions to “ ALLEN JAY SALM MD” Practice Location

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