Organization
LIFELINE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PALAKKUMAR PATEL M.D. (OWNER)
(908) 328-8491
Entity
Organization
Contact information
Practice address
662 COMMONS WAY BLDG I4, TOMS RIVER, NJ 08755-6431
(732) 279-3681
(732) 279-6043
Mailing address
662 COMMONS WAY BLDG I4, TOMS RIVER, NJ 08755-6431
(732) 279-3681
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA09556300
NJ
Other
Enumeration date
04/11/2016
Last updated
07/21/2022
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