Organization
PRIME SURGICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEUN SOWEMIMO MD (PRESIDENT)
(732) 761-1740
Entity
Organization
Contact information
Practice address
901 W MAIN ST, SUITE 103, FREEHOLD, NJ 07728-2537
(732) 761-1740
Mailing address
901 WEST MAIN STREET, SUITE 103, FREEHOLD, NJ 07728
(732) 761-1740
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
726538
NJ
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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