Clark Warren Associates in Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04503700 Issued in NJ

Legal business name

CLARK WARREN ASSOCIATES IN INTERNAL MEDICINE

Practice address

65 Mountain Blvd Ext
209
Warren, NJ 07059-2632

Phone

(732) 469-7290

Fax

(732) 469-7917

NPI assigned

Jul 20, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paolo A Salvatore, M.D.

Title

Ceo

Phone

(732) 469-7290

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1811372840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592632",
            "telephone_number": "732-469-7290",
            "fax_number": "732-469-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592632",
            "telephone_number": "732-469-7290",
            "fax_number": "732-469-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK WARREN ASSOCIATES IN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "SALVATORE",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-469-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04503700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.