# PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC

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

## Provider details

- **NPI number:** 1801078779
- **Authorized official:** CRAIG C. PRICE MD (OWNER/AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (732) 721-0071

## Contact information

- **Practice address:** 2045 US HIGHWAY 35 SOUTH, SOUTH AMBOY, NJ 08879
- **Practice address phone:** (732) 721-0071
- **Practice address fax:** (732) 721-7712
- **Mailing address:** 2045 US HIGHWAY 35 SOUTH, SOUTH AMBOY, NJ 08879-2069
- **Mailing address phone:** (732) 721-0071
- **Mailing address fax:** (732) 721-7712

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 01/15/2008