# TOMS RIVER PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Individual Physician Rendering Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902971484
- **Authorized official:** DR. JENNIFER LEE GIARDINA DO (MANAGING MEMBER MEDICAL DIRECTOR TO)
- **Authorized official phone:** (732) 914-0070

## Contact information

- **Practice address:** 3 PLAZA DRIVE, SUITE 6 TOMS RIVER PRIMARY CARE LLC, TOMS RIVER, NJ 08757-3764
- **Practice address phone:** (732) 914-0070
- **Practice address fax:** (732) 914-0071
- **Mailing address:** 3 PLAZA DRIVE, SUITE 6 TOMS RIVER PRIMARY CARE LLC, TOMS RIVER, NJ 08757-3764
- **Mailing address phone:** (732) 914-0070
- **Mailing address fax:** (732) 914-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MB05373700 | NJ | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020
