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Organization

PREMIUM FAMILY HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL CHRISTINE SKIPPER MD (MEDICAL DIRECTOR)
(201) 547-3555
Entity
Organization

Contact information

Practice address
115 CHRISTOPHER COLUMBUS DR, SUITE 300, JERSEY CITY, NJ 07302-5526
(201) 547-3555
(201) 547-8259
Mailing address
115 CHRISTOPHER COLUMBUS DR, SUITE 300, JERSEY CITY, NJ 07302-5526
(201) 547-3555
(201) 547-8259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA071041
NJ

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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