Organization
PRIME SURGICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEUN SOWEMIMO MD (PRESIDENT)
(646) 642-3543
Entity
Organization
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(646) 642-3543
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08584200
NJ
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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