Organization
NEWARK PRIME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANE ACKAD (M.D.)
(973) 497-2424
Entity
Organization
Contact information
Practice address
337 BLOOMFIELD AVE # A-2, NEWARK, NJ 07107-2405
(973) 497-2424
Mailing address
337 BLOOMFIELD AVE # A-2, NEWARK, NJ 07107-2405
(973) 497-2424
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA67816
NJ
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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