Organization
PRIME GERICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN MIRZA MD (OWNER)
(856) 381-9598
Entity
Organization
Contact information
Practice address
205 HOPKINS RD, MICKLETON, NJ 08056-1273
(856) 848-8060
(856) 848-8038
Mailing address
PO BOX 69, MICKLETON, NJ 08056-0069
(856) 848-8060
(856) 848-8038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/14/2026
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