Organization
PRIMECURE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TOMASELLO (BILLING MGR)
(609) 581-5502
Entity
Organization
Contact information
Practice address
445 WHITE HORSE AVE, SUITE 200, TRENTON, NJ 08610-1408
(609) 581-5502
(609) 581-5504
Mailing address
445 WHITE HORSE AVE, SUITE 200, TRENTON, NJ 08610-1408
(609) 581-5502
(609) 581-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06962600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8478104
—
NJ
Enumeration date
10/22/2008
Last updated
10/22/2008
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