Provider Demographics
NPI:1982645065
Name:SALEM, NOEL BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:BARBARA
Last Name:SALEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 SYLVAN AVENUE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2722
Mailing Address - Country:US
Mailing Address - Phone:201-871-0223
Mailing Address - Fax:201-871-1117
Practice Address - Street 1:385 SYLVAN AVENUE
Practice Address - Street 2:SUITE 26
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2722
Practice Address - Country:US
Practice Address - Phone:201-871-0223
Practice Address - Fax:201-871-0223
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03140000207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ449121Medicare ID - Type Unspecified
C54935Medicare UPIN