Garden State Primary Care, Llc | |
2 Hospital Plz Ste 470 Old Bridge NJ 08857-3012 | |
(732) 638-4688 | |
Not Available |
Full Name | Garden State Primary Care, Llc |
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Speciality | Family Medicine |
Location | 2 Hospital Plz Ste 470, Old Bridge, New Jersey |
Authorized Official Name and Position | Hawwa S. Frazier (PHYSICIAN OWNER) |
Authorized Official Contact | 7326384688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Garden State Primary Care, Llc 140 Whitehead Ave Sayreville NJ 08872-1187 Ph: () - | Garden State Primary Care, Llc 2 Hospital Plz Ste 470 Old Bridge NJ 08857-3012 Ph: (732) 638-4688 |
NPI Number | 1568986529 |
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Provider Enumeration Date | 08/01/2017 |
Last Update Date | 08/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568986529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB09310600 (New Jersey) | Primary |
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