| Prime Healthcare Services-st Michaels Medical Group Llc | |
|
111 Central Ave Newark NJ 07102-1909 | |
| (973) 854-3592 | |
| (973) 877-2434 |
| Full Name | Prime Healthcare Services-st Michaels Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Christopher Doan (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Contact | 9092354307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services-st Michaels Medical Group Llc 111 Central Ave Newark NJ 07102-1909 Ph: (973) 854-3592 | Prime Healthcare Services-st Michaels Medical Group Llc 111 Central Ave Newark NJ 07102-1909 Ph: (973) 854-3592 |
| NPI Number | 1326494378 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326494378 | NPI | - | NPPES |
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