Organization
PRIMEHEALTH PREFERRED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H KLOOS M.D. (PRESIDENT)
(908) 698-4784
Entity
Organization
Contact information
Practice address
266 KING GEORGE RD, SUITE F, WARREN, NJ 07059-5120
(908) 698-4784
(908) 607-1909
Mailing address
266 KING GEORGE RD, SUITE F, WARREN, NJ 07059-5120
(908) 698-4784
(908) 607-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03816100
NJ
Other
Enumeration date
01/31/2012
Last updated
06/11/2012
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