Provider Demographics
NPI:1134267990
Name:SALEM, ANASUYA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANASUYA
Middle Name:
Last Name:SALEM
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 RTE 10 E
Mailing Address - Street 2:203
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1200
Mailing Address - Country:US
Mailing Address - Phone:973-928-3900
Mailing Address - Fax:973-928-3901
Practice Address - Street 1:2839 RTE 10 E
Practice Address - Street 2:203
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1200
Practice Address - Country:US
Practice Address - Phone:973-928-3900
Practice Address - Fax:973-928-3901
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 2420232084F0202X
NJ25MA081748002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry