Prime Health Medical Llc. | |
1129 Bloomfield Ave Suite 209 West Caldwell NJ 07006-7127 | |
(973) 500-2686 | |
(973) 500-2686 |
Full Name | Prime Health Medical Llc. |
---|---|
Speciality | Internal Medicine |
Location | 1129 Bloomfield Ave, West Caldwell, New Jersey |
Authorized Official Name and Position | Radhika S. Remadevi (OWNER) |
Authorized Official Contact | 2016790536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Health Medical Llc. 1129 Bloomfield Ave Suite 209 West Caldwell NJ 07006-7127 Ph: (973) 500-2686 | Prime Health Medical Llc. 1129 Bloomfield Ave Suite 209 West Caldwell NJ 07006-7127 Ph: (973) 500-2686 |
NPI Number | 1164816492 |
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Provider Enumeration Date | 03/25/2015 |
Last Update Date | 05/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164816492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08661900 (New Jersey) | Primary |
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