Organization
PRIME PEDIATRICS AND ADOLESCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUZHAT ALI MD (OWNER/PHYSICIAN)
(248) 145-3478
Entity
Organization
Contact information
Practice address
1335 S LINDEN RD STE A, FLINT, MI 48532-3420
(248) 686-4092
Mailing address
6416 SOUTHPOINTE DR, TROY, MI 48085-1007
(248) 686-4092
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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