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Organization

PRIME MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAVITHA THUKKARAM MD (OWNER/ PHYSICIAN)
(732) 632-1700
Entity
Organization

Contact information

Practice address
212 BRIDGE ST, METUCHEN, NJ 08840-2254
(732) 632-1700
(732) 632-1704
Mailing address
212 BRIDGE ST, METUCHEN, NJ 08840-2254
(732) 632-1700
(732) 632-1704

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2083B0002X
Obesity Medicine (Preventive Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005681
NJ
01
MA72859
MEDICAL LICENSE
NJ
Enumeration date
07/31/2006
Last updated
03/06/2025
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