| Prime Endocrinology, Llc | |
|
103 Parker Rd Ste B West Long Branch NJ 07764-1009 | |
| (732) 222-0307 | |
| Not Available |
| Full Name | Prime Endocrinology, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Parker Rd Ste B, West Long Branch, New Jersey |
| Authorized Official Name and Position | Sudha Ganne (PHYSICIAN OWNER) |
| Authorized Official Contact | 7322220307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Endocrinology, Llc 103 Parker Rd Ste B West Long Branch NJ 07764-1009 Ph: (732) 222-0307 | Prime Endocrinology, Llc 103 Parker Rd Ste B West Long Branch NJ 07764-1009 Ph: (732) 222-0307 |
| NPI Number | 1306312095 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 3870834112 |
|---|---|
| Medicare Enrollment ID | O20190415000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306312095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sudha Ganne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376747618 PECOS PAC ID: 7416044250 Enrollment ID: I20071026000173 |
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