Primehealth & Wellness Center | |
85 Raritan Ave Ste 460 Highland Park NJ 08904-2439 | |
(845) 406-1985 | |
Not Available |
Full Name | Primehealth & Wellness Center |
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Speciality | Clinic/Center |
Location | 85 Raritan Ave, Highland Park, New Jersey |
Authorized Official Name and Position | Jerry Choi (MEMBER/MANAGER) |
Authorized Official Contact | 8454061985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primehealth & Wellness Center 85 Raritan Ave Ste 460 Highland Park NJ 08904-2439 Ph: () - | Primehealth & Wellness Center 85 Raritan Ave Ste 460 Highland Park NJ 08904-2439 Ph: (845) 406-1985 |
NPI Number | 1710304274 |
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Provider Enumeration Date | 03/22/2014 |
Last Update Date | 03/22/2014 |
Medicare PECOS PAC ID | 1951524495 |
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Medicare Enrollment ID | O20140602000879 |
Identifier | Type | State | Issuer |
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1710304274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jerry Choi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013334564 PECOS PAC ID: 2860615309 Enrollment ID: I20140602000991 |
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