Doctor Name: | MS. MEGHAN CHASE SALVATORE |
NPI Number: | 1053640110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.N, R.N, B.S |
License Number: | 26NJ00267200 |
Business Practice Address: | 849 Cooper St Deptford, NJ - 080962571 |
Business Phone Number: | 8568486346 |
Business Fax Number: | 8568485734 |
Mailing Address: | 402 Lippincott Dr, MARLTON |
State: | NJ |
Postal Code: | 080534112 |
Phone Number: | 8567823300 |
Fax Number: | 8565048029 |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NJ00267200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |