Provider Demographics
NPI:1669795878
Name:AIDS COALITION OF SOUTHERN NEW JERSEY
Entity type:Organization
Organization Name:AIDS COALITION OF SOUTHERN NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRANTS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-933-9500
Mailing Address - Street 1:100 ESSEX AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BELLMAWR
Mailing Address - State:NJ
Mailing Address - Zip Code:08031-2488
Mailing Address - Country:US
Mailing Address - Phone:856-933-9500
Mailing Address - Fax:856-933-9515
Practice Address - Street 1:100 ESSEX AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BELLMAWR
Practice Address - State:NJ
Practice Address - Zip Code:08031-2488
Practice Address - Country:US
Practice Address - Phone:856-933-9500
Practice Address - Fax:856-933-9515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)