Organization
PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC
Active
Other names
Saint Clare's Health - Lakeland Cardiology Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (CHEIF COMPLIANCE COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
765 ROUTE 10 STE 104, RANDOLPH, NJ 07869-1925
(973) 989-2566
(973) 989-5669
Mailing address
765 ROUTE 10 STE 104, RANDOLPH, NJ 07869-1925
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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