| Primary Care Associates Of Nj, Llc | |
|
329 Main Rd Montville NJ 07045-9729 | |
| (973) 334-9404 | |
| Not Available |
| Full Name | Primary Care Associates Of Nj, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 329 Main Rd, Montville, New Jersey |
| Authorized Official Name and Position | Cory A. Golloub (OWNER) |
| Authorized Official Contact | 9733349404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Of Nj, Llc 329 Main Rd Montville NJ 07045-9729 Ph: () - | Primary Care Associates Of Nj, Llc 329 Main Rd Montville NJ 07045-9729 Ph: (973) 334-9404 |
| NPI Number | 1346231255 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 03/13/2018 |
| Medicare PECOS PAC ID | 9638137920 |
|---|---|
| Medicare Enrollment ID | O20050104000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346231255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA55345 (New Jersey) | Primary |
| 208000000X | Pediatrics | MA55345 (New Jersey) | Secondary |
| Provider Name | Cory A Golloub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508867235 PECOS PAC ID: 9739077355 Enrollment ID: I20040305000934 |
| Provider Name | Mark D Kraljevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538591052 PECOS PAC ID: 6305146986 Enrollment ID: I20151203002594 |
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