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Organization

GARDEN STATE PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAWWA S. FRAZIER DO (PHYSICIAN OWNER)
(732) 638-4688
Entity
Organization

Contact information

Practice address
2 HOSPITAL PLZ STE 470, OLD BRIDGE, NJ 08857-3012
(732) 638-4688
Mailing address
140 WHITEHEAD AVE, SAYREVILLE, NJ 08872-1187

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09310600
NJ

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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