Organization Name: | PRIMARY CARE PARTNERS LLC |
NPI Number: | 1174927305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J SHULKIN (CEO) |
Mailing Address: | 1911 Us Highway 46 Ledgewood |
State: | NJ US |
Postal Code: | 078529758 |
Phone Number: | 9733478500 |
Fax Number: | 9733477320 |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |