| Preventive Healthcare Associates- Primary Care Partners Affiliate | |
|
102 James St Suite 202 Edison NJ 08820-3970 | |
| (732) 548-5541 | |
| (732) 548-2610 |
| Full Name | Preventive Healthcare Associates- Primary Care Partners Affiliate |
|---|---|
| Speciality | Family Medicine |
| Location | 102 James St, Edison, New Jersey |
| Authorized Official Name and Position | David J Shulkin (CEO) |
| Authorized Official Contact | 9739715450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Healthcare Associates- Primary Care Partners Affiliate Po Box 2403 Voorhees NJ 08043-6403 Ph: (856) 782-3300 | Preventive Healthcare Associates- Primary Care Partners Affiliate 102 James St Suite 202 Edison NJ 08820-3970 Ph: (732) 548-5541 |
| NPI Number | 1700157104 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700157104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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