NPI | 1396450953 |
---|---|
Doing Business As | PRIMEMED PLLC |
Entity Type | Organization |
Authorized Contact | MOHAMED ADAN Physician Assistant 857-492-6395 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-05-15 |