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Organization
PRIMARY CARE ASSOCIATES OF NJ, LLC
Active
Organization
PRIMARY CARE ASSOCIATES OF NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY A. GOLLOUB MD (OWNER)
(973) 334-9404
Entity
Organization
Contact information
Practice address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
Mailing address
329 MAIN RD, MONTVILLE, NJ 07045-9729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA55345
NJ
208000000X
Pediatrics Physician
MA55345
NJ
Other
Enumeration date
10/31/2005
Last updated
03/13/2018
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