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NPI Code Detail

MEDICARE: DR. SHAKEEL SALIM M.D, M.S

MEDICARE: DR. SHAKEEL SALIM M.D, M.S
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician25MA09272600NJ
2208100000XPhysical Medicine & Rehabilitation Physician25MA09272600NJ
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianMD444614PA
42081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician25MA09272600NJ

General Provider Information

NPI Number : 1912279977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAKEEL SALIM M.D, M.S
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 410
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 994 W SHERMAN AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-6937
Country : US
Telephone Number : 856-696-0900
Fax Number : 856-696-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2012
Last Update Date : 04/13/2026

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