Healthcare Provider Details

I. General information

NPI: 1245226307
Provider Name (Legal Business Name): PRIORITY MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 CAMPUS DR
SOMERSET NJ
08873
US

IV. Provider business mailing address

370 CAMPUS DR
SOMERSET NJ
08873
US

V. Phone/Fax

Practice location:
  • Phone: 732-748-1900
  • Fax:
Mailing address:
  • Phone: 732-748-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. MINDY ANN OFFIT
Title or Position: MANAGER
Credential:
Phone: 732-748-1900