Organization
PRIME PODIATRY LLC
Active
Other names
Prime Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS GEORGE LOGOTHETIS DPM (OWNER)
(973) 934-9704
Entity
Organization
Contact information
Practice address
64 US HIGHWAY 46 STE 201, PINE BROOK, NJ 07058-4401
(973) 934-9704
Mailing address
91 ROSELAND AVE UNIT C10, CALDWELL, NJ 07006-5970
(973) 934-9704
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
05/19/2025
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