Organization
NJ PRIMARY CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LALITHA VENKAT GUMIDYALA M.D. (MEDICAL DIRECTOR)
(732) 780-2221
Entity
Organization
Contact information
Practice address
509 STILLWELLS CORNER RD, SUITE # E-8, FREEHOLD, NJ 07728
(732) 780-2221
(732) 780-2292
Mailing address
509 STILLWELLS CORNER ROAD, SUITE # E-8, FREEHOLD, NJ 07728
(732) 780-2221
(732) 780-2292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA070638
NJ
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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