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Organization
WARREN PRIMARY CARE CENTER, LLC
Active
Organization
WARREN PRIMARY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVI P GOLLAPUDI MD (PRESIDENT)
(908) 852-8750
Entity
Organization
Contact information
Practice address
47 ROUTE 46 STE 1, HACKETTSTOWN, NJ 07840-2642
(908) 852-8750
(908) 852-8820
Mailing address
47 ROUTE 46 STE 1, HACKETTSTOWN, NJ 07840-2642
(908) 852-8750
(908) 852-8820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7914300
—
NJ
Enumeration date
03/13/2019
Last updated
03/14/2019
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