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Organization
PRIME MED MEDICAL SERVICES PC
Active
Organization
PRIME MED MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABASH KONERU MD (MEDICAL DIRECTOR)
(347) 276-8866
Entity
Organization
Contact information
Practice address
1676 N OLDEN AVE, EWING, NJ 08638-3209
(347) 276-8866
Mailing address
2114 PACIFIC BLVD, ATLANTIC BEACH, NY 11509-1139
(347) 276-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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