Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 25MA03080500 | NJ |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 25MA03080500 | NJ |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 25MA03080500 | NJ |
N | 207RG0100X | Gastroenterologist | 25MA03080500 | NJ |
NPI | 1538183843 |
---|---|
Provider Name | Robert I Salasin |
First Address | Cape May Court House, NJ 08210-1967 |
Second Address | Cape May Court House, NJ 08210-1967 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 20/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020013471 | RAILROAD MEDICARE (01) | NJ |
1813005 | (05) | NJ |
D96990 | (02) | NJ |