Prime Endocrinology, LLC

NPI #1306312095 in West Long Branch, New Jersey

Provider Information

NPI Number: 1306312095
Entity Type: Organization
Organization Name: Prime Endocrinology, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: 103 PARKER RD STE B
City: West Long Branch
State: New Jersey
ZIP Code: 07764-1009
Phone: (732) 222-0307

Authorized Official

Name: SUDHA GANNE, MD
Title: PHYSICIAN OWNER
Phone: (732) 222-0307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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