MEDICARE: UMAR SALIMI M.D.

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	208000000X	Pediatrics Physician	25MA11946300	NJ

General Provider Information

NPI Number	:	1740545417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMAR SALIMI M.D.

Provider Business Mailing Address
First Line	:	1110 COTTONWOOD CT
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-5208
Country	:	US
Telephone Number	:	508-410-0106
Fax Number	:

Provider Business Practice Location Address
First Line	:	481 S WASHINGTON AVE
Second Line	:
City	:	BERGENFIELD
State	:	NJ
Zip	:	07621-4313
Country	:	US
Telephone Number	:	201-875-2454
Fax Number	:

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	03/29/2024

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