# PRIMARY CARE MEDICINE, LLC

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

## Provider details

- **NPI number:** 1063602696
- **Authorized official:** DR. BASEL BATARSEH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 797-2003

## Contact information

- **Practice address:** 20-19 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2320
- **Practice address phone:** (201) 797-2003
- **Practice address fax:** (201) 797-7003
- **Mailing address:** PO BOX 36255, NEWARK, NJ 07188-0001
- **Mailing address phone:** (201) 797-2003
- **Mailing address fax:** (201) 797-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA061626 | NJ | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 07/30/2007