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NPI Code Detail

MEDICARE: CENTER FOR PRIMARY CARE MEDICINE LLC

MEDICARE: CENTER FOR PRIMARY CARE MEDICINE LLC
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
1207RC0000XCardiovascular Disease Physician
22085U0001XDiagnostic Ultrasound Physician
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1194997304
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR PRIMARY CARE MEDICINE LLC
Provider Business Mailing Address
First Line : 4065 QUAKERBRIDGE RD
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-5243
Country : US
Telephone Number : 609-436-5900
Fax Number : 609-452-0222
Provider Business Practice Location Address
First Line : 4065 QUAKERBRIDGE RD
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-5243
Country : US
Telephone Number : 609-436-5900
Fax Number : 609-452-0222
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : BONNIE L HARTZ
Credential :
Telephone Number : 609-436-5900
Provider Enumeration Date : 03/27/2008
Last Update Date : 06/21/2012

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Directions to “CENTER FOR PRIMARY CARE MEDICINE LLC ” Practice Location

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