| Prime Geriatric Care Llc | |
|
2333 Morris Ave Union NJ 07083-5714 | |
| (201) 512-9494 | |
| Not Available |
| Full Name | Prime Geriatric Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2333 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Suganthini Umakanthan (OWNER) |
| Authorized Official Contact | 2015129494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Geriatric Care Llc Po Box 3587 Princeton NJ 08543-3587 Ph: (201) 512-9494 | Prime Geriatric Care Llc 2333 Morris Ave Union NJ 07083-5714 Ph: (201) 512-9494 |
| NPI Number | 1407953144 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 08/25/2008 |
| Medicare PECOS PAC ID | 8224103460 |
|---|---|
| Medicare Enrollment ID | O20080822000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407953144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MA066415 (New Jersey) | Primary |
| Provider Name | Suganthini Umakanthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609973346 PECOS PAC ID: 6406921642 Enrollment ID: I20080822000006 |
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