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Organization

PRIME HEALTH GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUPRIYA HOSADURGA MD (OWNER)
(908) 721-2153
Entity
Organization

Contact information

Practice address
208 LENOX AVE # 154, WESTFIELD, NJ 07090-5120
(732) 443-1700
Mailing address
208 LENOX AVE # 154, WESTFIELD, NJ 07090-5120

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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