Prime Internal Medicine | |
901 W Main St Suite 104 Freehold NJ 07728-2537 | |
(732) 637-2768 | |
Not Available |
Full Name | Prime Internal Medicine |
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Speciality | Internal Medicine |
Location | 901 W Main St, Freehold, New Jersey |
Authorized Official Name and Position | Fiolakemi Sowemimo (GENERAL PRACTITIONER) |
Authorized Official Contact | 7326372768 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime Internal Medicine 901 W Main St Suite 104 Freehold NJ 07728-2537 Ph: (732) 637-2768 | Prime Internal Medicine 901 W Main St Suite 104 Freehold NJ 07728-2537 Ph: (732) 637-2768 |
NPI Number | 1588912968 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588912968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08593300 (New Jersey) | Primary |
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