Provider Demographics
NPI:1245271162
Name:CARE ASSOCIATES OF SALEM COUNTY PC
Entity type:Organization
Organization Name:CARE ASSOCIATES OF SALEM COUNTY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-769-2800
Mailing Address - Street 1:187 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08098-1338
Mailing Address - Country:US
Mailing Address - Phone:856-769-2800
Mailing Address - Fax:856-769-4256
Practice Address - Street 1:125 EAST AVE
Practice Address - Street 2:SUITE C
Practice Address - City:WOODSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08098-1351
Practice Address - Country:US
Practice Address - Phone:856-769-2800
Practice Address - Fax:856-769-4256
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE ASSOCIATES OF SALEM COUNTY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-10
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJO22556Medicare PIN