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Organization

PRIME DIAGNOSIS MEDICAL P.A.

Active
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Organization

PRIME DIAGNOSIS MEDICAL P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VASILIKY TSIROGIANNIS M.D. (PRESIDENT)
(551) 482-6186
Entity
Organization

Contact information

Practice address
1325 PATERSON PLANK RD, SECAUCUS, NJ 07094-3746
(201) 583-5232
(201) 351-4016
Mailing address
1325 PATERSON PLANK RD, SECAUCUS, NJ 07094-3746
(201) 583-5232
(201) 351-4016

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08733800
NJ

Other

Enumeration date
07/06/2015
Last updated
12/16/2016
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