# NEWARK PRIME CARE,LLC

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

## Provider details

- **NPI number:** 1881855278
- **Authorized official:** VIVIANE ACKAD (M.D.)
- **Authorized official phone:** (973) 497-2424

## Contact information

- **Practice address:** 337 BLOOMFIELD AVE \# A-2, NEWARK, NJ 07107-2405
- **Practice address phone:** (973) 497-2424
- **Mailing address:** 337 BLOOMFIELD AVE \# A-2, NEWARK, NJ 07107-2405
- **Mailing address phone:** (973) 497-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA67816 | NJ | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 06/19/2008