# PRIMEHEALTH PREFERRED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053683557
- **Authorized official:** DR. THOMAS H KLOOS M.D. (PRESIDENT)
- **Authorized official phone:** (908) 698-4784

## Contact information

- **Practice address:** 266 KING GEORGE RD, SUITE F, WARREN, NJ 07059-5120
- **Practice address phone:** (908) 698-4784
- **Practice address fax:** (908) 607-1909
- **Mailing address:** 266 KING GEORGE RD, SUITE F, WARREN, NJ 07059-5120
- **Mailing address phone:** (908) 698-4784
- **Mailing address fax:** (908) 607-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA03816100 | NJ | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 06/11/2012