Organization
PRIME ENDOCRINOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA GANNE MD (PHYSICIAN OWNER)
(732) 222-0307
Entity
Organization
Contact information
Practice address
103 PARKER RD STE B, WEST LONG BRANCH, NJ 07764-1009
(732) 222-0307
Mailing address
103 PARKER RD STE B, WEST LONG BRANCH, NJ 07764-1009
(732) 222-0307
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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