Organization
PRIMARY CARE PARTNERS LLC
Active
Parent organization
PRIMARY CARE PARTNERS LLC
Other names
Pediatric and Adolescent Center- Primary Care Partners Affiliate
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PARTNERS LLC
Authorized official
DR. DAVID J SHULKIN MD (CEO)
(856) 782-3300
Entity
Organization
Contact information
Practice address
1911 US HIGHWAY 46, LEDGEWOOD, NJ 07852-9758
(973) 347-8500
(973) 347-7320
Mailing address
PO BOX 2403, VOORHEES, NJ 08043-6403
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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