# PRIME MD, PC

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

## Provider details

- **NPI number:** 1659844884
- **Authorized official:** DR. SANJAY ASHWIN PATEL MD (OWNER)
- **Authorized official phone:** (352) 361-0622

## Contact information

- **Practice address:** 115 ROUTE 206, CHESTER, NJ 07930
- **Practice address phone:** (352) 207-4949
- **Practice address fax:** (201) 304-0606
- **Mailing address:** 300 MAIN ST \# 765, MADISON, NJ 07940-2369
- **Mailing address phone:** (352) 361-0622

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 01/10/2019