| Primary Healthcare Llc | |
|
2090 Route 27 Suite 101 North Brunswick NJ 08902-1141 | |
| (732) 220-0049 | |
| (732) 354-0486 |
| Full Name | Primary Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2090 Route 27, North Brunswick, New Jersey |
| Authorized Official Name and Position | Nazia Rizvi (PRESIDENT) |
| Authorized Official Contact | 7322200049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Healthcare Llc 2090 Route 27 Suite 101 North Brunswick NJ 08902-1141 Ph: (732) 220-0049 | Primary Healthcare Llc 2090 Route 27 Suite 101 North Brunswick NJ 08902-1141 Ph: (732) 220-0049 |
| NPI Number | 1053548586 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 2264584713 |
|---|---|
| Medicare Enrollment ID | O20090715000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053548586 | NPI | - | NPPES |
| 0177075 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Nazia Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205818135 PECOS PAC ID: 1557375623 Enrollment ID: I20060127000189 |
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