PRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC

NEWARK, NJ
NPI1326494378
Entity TypeOrganization
Authorized ContactCHRISTOPHER DOAN
Chief Compliance Counsel
909-235-4307
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207V00000X Obstetrics & Gynecology
2084P0800X Psychiatry & Neurology, Psychiatry
208600000X Surgery
213E00000X Podiatrist
Enumeration Date2016-05-09
Last Update Date2016-05-12
Business Address
PRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-854-3592
Mailing Address
PRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-854-3592