Organization
PRIME HEALTH MEDICAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHIKA S. REMADEVI M.D. (OWNER)
(201) 679-0536
Entity
Organization
Contact information
Practice address
1129 BLOOMFIELD AVE, SUITE 209, WEST CALDWELL, NJ 07006-7127
(973) 500-2686
(973) 500-2686
Mailing address
1129 BLOOMFIELD AVE, SUITE 209, WEST CALDWELL, NJ 07006-7127
(973) 500-2686
(973) 500-2686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08661900
NJ
Other
Enumeration date
03/25/2015
Last updated
05/14/2015
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