Primary Care Medical Practice, Llc

LBN: Primary Care Medical Practice, Llc
Primary Care Medical Practice, Llc is an health care organization with primary practice located at 1031 Mcbride Ave Suite D 205, Woodland Park NJ 07424-2559. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Primary Care Medical Practice, Llc can be contacted via phone (973) 237-9055, or through Mallouhi, Samuel Issam via phone (973) 237-9055.

Contact Information

Primary practice address
1031 Mcbride Ave Suite D 205 Woodland Park NJ 07424-2559
Phone: (973) 237-9055
Fax: (973) 237-9053
Website:
Map and Directions
Authorized official contact:
Name: Mallouhi, Samuel Issam Doctor of Medicine (MD)
Phone: (973) 237-9055

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA061762 New Jersey

Profile Details

NPI number 1912113002
LBN Legal business name Primary Care Medical Practice, Llc
DBA Doing business as
Authorized official Mallouhi, Samuel Issam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 1st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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