# PRIME HEALTH MEDICAL LLC.

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

## Provider details

- **NPI number:** 1164816492
- **Authorized official:** DR. RADHIKA S. REMADEVI M.D. (OWNER)
- **Authorized official phone:** (201) 679-0536

## Contact information

- **Practice address:** 1129 BLOOMFIELD AVE, SUITE 209, WEST CALDWELL, NJ 07006-7127
- **Practice address phone:** (973) 500-2686
- **Practice address fax:** (973) 500-2686
- **Mailing address:** 1129 BLOOMFIELD AVE, SUITE 209, WEST CALDWELL, NJ 07006-7127
- **Mailing address phone:** (973) 500-2686
- **Mailing address fax:** (973) 500-2686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08661900 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 05/14/2015