Organization
PRIME GERIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUGANTHINI UMAKANTHAN MD (OWNER)
(201) 512-9494
Entity
Organization
Contact information
Practice address
2333 MORRIS AVE, UNION, NJ 07083-5714
(201) 512-9494
Mailing address
PO BOX 3587, PRINCETON, NJ 08543-3587
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA066415
NJ
Other
Enumeration date
09/17/2006
Last updated
08/25/2008
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