Pri Med Care Pa

NPI 1063449023 - Internal Medicine - 207R00000X

NPI Details
NPI 1063449023
Enumeration Date 06/27/2006
Last Updated 08/04/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROXANA ROXANA
Position BILLING
Phone (973) 484-2800
Fax
Practice Location
205 SUMMER AVE
NEWARK NJ, 07104, US
Phone (973) 484-2800
Fax
Business Location
205 SUMMER AVE
NEWARK NJ, 07104, US
Phone (973) 484-2800
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number MB06569500
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According to our database, Pri Med Care Pa NPI is 1063449023, taxonomy code is 207R00000X and license number is MB06569500, license state is located at New Jersey. Pri Med Care Pa physically located at 205 Summer Ave, Newark NJ, 07104. NPI Number 1033115704 has the healthcare provider type.

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1063449023 NPI number is provided on an as is basis without warranty of any kind. 1063449023 is maintained by the National Plan & Provider Enumeration System. The contents of Pri Med Care Pa are for informational purposes only.