Primary Medical Care Professional
NPI #1588687479 in Orange, New Jersey
Provider Information
- NPI Number
- 1588687479
- Entity Type
- Organization
- Organization Name
- Primary Medical Care Professional
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Oct 7, 2010
Practice Location
- Address
- 85 S JEFFERSON ST
- Address 2
- STE. 3
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-1562
- Phone
- (973) 673-9229
Authorized Official
- Name
- DR. JOSEPH SALESE, MD
- Title
- PRESIDENT
- Phone
- (973) 673-9229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine - Gastroenterology — Gastroenterology |
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