# NJ PRIMARY CARE ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1740306877
- **Authorized official:** DR. LALITHA VENKAT GUMIDYALA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (732) 780-2221

## Contact information

- **Practice address:** 509 STILLWELLS CORNER RD, SUITE \# E-8, FREEHOLD, NJ 07728
- **Practice address phone:** (732) 780-2221
- **Practice address fax:** (732) 780-2292
- **Mailing address:** 509 STILLWELLS CORNER ROAD, SUITE \# E-8, FREEHOLD, NJ 07728
- **Mailing address phone:** (732) 780-2221
- **Mailing address fax:** (732) 780-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA070638 | NJ | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020