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Organization
GARDEN STATE PRIMARY CARE, LLC
Active
Organization
GARDEN STATE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAWWA S. FRAZIER DO (PHYSICIAN OWNER)
(732) 638-4688
Entity
Organization
Contact information
Practice address
2 HOSPITAL PLZ STE 470, OLD BRIDGE, NJ 08857-3012
(732) 638-4688
Mailing address
140 WHITEHEAD AVE, SAYREVILLE, NJ 08872-1187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09310600
NJ
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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