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Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Organization
PRIME GARDEN CITY MEDICAL GROUP
Active
Parent organization
PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC
Authorized official
NICOLE MASCIA (ADMIN)
(248) 955-9949
Entity
Organization
Contact information
Practice address
6255 INKSTER RD STE 207, GARDEN CITY, MI 48135-2538
(734) 427-6570
(734) 427-6140
Mailing address
6255 INKSTER RD STE 207, GARDEN CITY, MI 48135-2538
(734) 427-6570
(734) 427-6140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
06/13/2014
Last updated
10/23/2023
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