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Organization
PRI MED CARE PA
Active
Organization
PRI MED CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANA PEEKE (BILLING)
(201) 522-3205
Entity
Organization
Contact information
Practice address
205 SUMMER AVE, NEWARK, NJ 07104
(973) 484-2800
Mailing address
205 SUMMER AVE, NEWARK, NJ 07104
(973) 484-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB06569500
NJ
Other
Enumeration date
06/27/2006
Last updated
08/04/2008
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