Delre, Sallustio
Delre, Sallustio is an individual health care provider with primary practice located at 155 Medical Center Way 3Rd Fl, Somers Point NJ 08244-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Delre, Sallustio can be contacted via phone (609) 365-3100.Contact Information
Primary practice address
155 Medical Center Way 3Rd Fl
Somers Point NJ 08244-2306
Phone: (609) 365-3100
Fax: (609) 365-3165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA05938000 | New Jersey |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA05938000 | New Jersey |
Profile Details
NPI number | 1306802988 |
---|---|
LBN Legal business name | Delre, Sallustio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2006 |
Last updated | Feb 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306802988 | NPPES |
New Jersey | MEDICAID | 7849206 |
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