# PRIME GERICARE LLC

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

## Provider details

- **NPI number:** 1417875659
- **Authorized official:** IMRAN MIRZA MD (OWNER)
- **Authorized official phone:** (856) 381-9598

## Contact information

- **Practice address:** 205 HOPKINS RD, MICKLETON, NJ 08056-1273
- **Practice address phone:** (856) 848-8060
- **Practice address fax:** (856) 848-8038
- **Mailing address:** PO BOX 69, MICKLETON, NJ 08056-0069
- **Mailing address phone:** (856) 848-8060
- **Mailing address fax:** (856) 848-8038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 07/14/2026