Provider Demographics
NPI:1710977392
Name:SALM, ALLEN JAY (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:JAY
Last Name:SALM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 INSKEEP CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4404
Mailing Address - Country:US
Mailing Address - Phone:609-471-4439
Mailing Address - Fax:
Practice Address - Street 1:141 ROUTE 70 E STE B
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1855
Practice Address - Country:US
Practice Address - Phone:856-596-9057
Practice Address - Fax:856-596-0837
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05039900207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ290003536OtherRAILROAD MEDICARE
NJ0089230000OtherAMERIHEALTH HMO
NJ1519808Medicaid
NJ000174823OtherIND BC PPO
NJ1519808Medicaid
NJ290003536OtherRAILROAD MEDICARE