# PRIME INTERNAL MEDICINE

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

## Provider details

- **NPI number:** 1588912968
- **Authorized official:** DR. FIOLAKEMI SOWEMIMO M.D. (GENERAL PRACTITIONER)
- **Authorized official phone:** (732) 637-2768

## Contact information

- **Practice address:** 901 W MAIN ST, SUITE 104, FREEHOLD, NJ 07728-2537
- **Practice address phone:** (732) 637-2768
- **Mailing address:** 901 W MAIN ST, SUITE 104, FREEHOLD, NJ 07728-2537
- **Mailing address phone:** (732) 637-2768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08593300 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 08/16/2012