# PRIME HEALTH GROUP LLC

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

## Provider details

- **NPI number:** 1497513246
- **Authorized official:** DR. SUPRIYA HOSADURGA MD (OWNER)
- **Authorized official phone:** (908) 721-2153

## Contact information

- **Practice address:** 208 LENOX AVE \# 154, WESTFIELD, NJ 07090-5120
- **Practice address phone:** (732) 443-1700
- **Mailing address:** 208 LENOX AVE \# 154, WESTFIELD, NJ 07090-5120

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 03/07/2024