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Organization

PRIMARY CARE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BASEL BATARSEH MD (PRESIDENT)
(201) 797-2003
Entity
Organization

Contact information

Practice address
20-19 FAIR LAWN AVE, FAIR LAWN, NJ 07140
(201) 797-2003
Mailing address
PO BOX 14008A, NEWARK, NJ 07198-0001
(201) 797-2003
(201) 797-7003

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2686763
AETNA
Enumeration date
08/31/2006
Last updated
08/22/2020
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