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NPI Code Detail

MEDICARE: PRIMARY HEALTH NJ

MEDICARE: PRIMARY HEALTH NJ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1114515079
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY HEALTH NJ
Provider Business Mailing Address
First Line : 5600 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3232
Country : US
Telephone Number : 267-252-6408
Fax Number :
Provider Business Practice Location Address
First Line : 3379 QUAKERBRIDGE RD STE 201
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-1269
Country : US
Telephone Number : 609-695-4422
Fax Number : 888-501-3503
Authorized Official
Title or Position : OWNER
Name : HAYTHAM ALBIZEM
Credential : MD
Telephone Number : 267-252-6408
Provider Enumeration Date : 01/06/2021
Last Update Date : 12/20/2023

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Directions to “PRIMARY HEALTH NJ ” Practice Location

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