Primary Care Providers, LLC
NPI #1871068726 in Manasquan, New Jersey
Provider Information
- NPI Number
- 1871068726
- Entity Type
- Organization
- Organization Name
- Primary Care Providers, LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Oct 8, 2018
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 2640 HWY 70, BLDG.5 SUITE 102B
- City
- Manasquan
- State
- New Jersey
- ZIP Code
- 08736
- Phone
- (732) 292-0100
Authorized Official
- Name
- MISS CORINA M IANCULOVICI, NP
- Title
- CEO
- Phone
- (732) 292-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Clinic/Center - Community Health — Community Health |
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