| Holistic Prime Care Llc | |
|
225 Gordons Corner Rd Ste 2h Manalapan NJ 07726-3342 | |
| (732) 360-7005 | |
| (732) 360-7055 |
| Full Name | Holistic Prime Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Gordons Corner Rd Ste 2h, Manalapan, New Jersey |
| Authorized Official Name and Position | Natalia Malieva (MEMBER) |
| Authorized Official Contact | 7327188500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Prime Care Llc 225 Gordons Corner Rd Ste 2h Manalapan NJ 07726-3342 Ph: (732) 360-7005 | Holistic Prime Care Llc 225 Gordons Corner Rd Ste 2h Manalapan NJ 07726-3342 Ph: (732) 360-7005 |
| NPI Number | 1598410466 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 1658740618 |
|---|---|
| Medicare Enrollment ID | O20221213003203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598410466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Natalia Malieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245701382 PECOS PAC ID: 3274874664 Enrollment ID: I20190412000153 |
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