Organization
PRIMARY CARE ASSOCIATES OF NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY A. GOLLOUB MD (OWNER)
(973) 334-9404
Entity
Organization
Contact information
Practice address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
Mailing address
329 MAIN RD, MONTVILLE, NJ 07045-9729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA55345
NJ
208000000X
Pediatrics Physician
MA55345
NJ
Other
Enumeration date
10/31/2005
Last updated
03/13/2018
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