Organization
NJ PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVAL GADHVI MD (OWNER/PHYSICIAN)
(201) 902-0300
Entity
Organization
Contact information
Practice address
500 SUMMIT AVE, UNION CITY, NJ 07087-3421
(973) 239-1600
Mailing address
200 HUDSON ST STE 145, JERSEY CITY, NJ 07311-1220
(201) 360-0782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08458400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180998
—
NJ
Enumeration date
03/25/2015
Last updated
08/25/2020
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