Organization · Type 2 NPI
Brianjrdustinandrew
Health Service Clinic/Center · Salem, NJ
NPI number
1053603431
Active
Practice location
413 Salem Hancocks Bridge Rd
Salem, NJ 08079-9418
Fax (856) 935-0427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 26NH07335300 (NJ) |
| Health Service Clinic/Center Primary | 261QH0100X | NANJ0608042655 (NJ) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Salem
About NPI 1053603431
Brianjrdustinandrew's National Provider Identifier is 1053603431, issued on May 4, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Salem, NJ. The record was last updated on May 4, 2011.