Organization
PRIME INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIOLAKEMI SOWEMIMO M.D. (GENERAL PRACTITIONER)
(732) 637-2768
Entity
Organization
Contact information
Practice address
901 W MAIN ST, SUITE 104, FREEHOLD, NJ 07728-2537
(732) 637-2768
Mailing address
901 W MAIN ST, SUITE 104, FREEHOLD, NJ 07728-2537
(732) 637-2768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08593300
NJ
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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