Doctor Name: | DIDI SALLOUM |
NPI Number: | 1396700951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 25MA06869700 |
Business Practice Address: | 1930 Hwy 35 Ste 3 Wall Township, NJ - 077193538 |
Business Phone Number: | 7323597060 |
Business Fax Number: | 7323597058 |
Mailing Address: | 1930 Hwy 35 Ste 3, WALL TOWNSHIP |
State: | NJ |
Postal Code: | 077193538 |
Phone Number: | 7323597060 |
Fax Number: | 7323597058 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MA06869700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |