Organization
CENTER FOR PRIMARY CARE & GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAKET PRASAD MD (DIRECTOR)
(908) 755-3688
Entity
Organization
Contact information
Practice address
904 OAK TREE AVE, SUITE D, SOUTH PLAINFIELD, NJ 07080-5126
(908) 755-3688
(908) 755-3788
Mailing address
9 RENEE CT, EDISON, NJ 08820-3634
(732) 494-0964
(908) 755-3788
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06520900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7959508
—
NJ
Enumeration date
12/13/2006
Last updated
08/22/2020
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